| NPI | 1295365302 |
|---|---|
| Doing Business As | VIBRANT LIFE DIRECT CARE, PLLC |
| Entity Type | Organization |
| Authorized Contact | LYDIA J. DENNIS Owner 405-708-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |