| NPI | 1366024226 |
|---|---|
| Former Legal Business Name | VIDAFUL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | VALERIE SORGE President 484-588-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |