| NPI | 1689192429 |
|---|---|
| Doing Business As | VITA WHOLE BODY CARE |
| Entity Type | Organization |
| Authorized Contact | RANDY M GONZALES Acupuncturist 631-875-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2018-06-16 |