| NPI | 1336765080 |
|---|---|
| Doing Business As | RENEWED VITALITY |
| Entity Type | Organization |
| Authorized Contact | REBECCA MCCLURE Authorized Official 484-516-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2023-07-27 |