| NPI | 1356957252 |
|---|---|
| Former Legal Business Name | TRUE VITALITY CONSULTING, LLC |
| Entity Type | Organization |
| Authorized Contact | PRINCESS STEPHENSON Managing Member 301-298-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2022-01-11 |