| NPI | 1255922589 |
|---|---|
| Former Legal Business Name | WELLNESS AND VITALITY P C |
| Entity Type | Organization |
| Authorized Contact | TANYA WARD Office Manager 571-550-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |