| NPI | 1376350041 |
|---|---|
| Doing Business As | GOLD CREEK VITALITY |
| Entity Type | Organization |
| Authorized Contact | ALAN GROSS Owner 909-957-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |