| NPI | 1649658105 |
|---|---|
| Doing Business As | VITALITY NP SERVICES |
| Entity Type | Organization |
| Authorized Contact | ETTIE TRESS Administrator 732-987-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2017-03-06 |