| NPI | 1356953830 |
|---|---|
| Former Legal Business Name | VITAFUSE, LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S RAY President 623-293-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |