VITAL MED LLC

BOONEVILLE, MS
NPI1710517347
Entity TypeOrganization
Authorized ContactDESIREE BROOKE HAUGH
Owner/Np
662-368-3858
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2020-01-23
Last Update Date2020-01-23
Business Address
VITAL MED LLC
103 RIDGEMONT VILLA
BOONEVILLE, MS 38829-1010
Phone number: 662-368-3858
Mailing Address
VITAL MED LLC
103 RIDGEMONT VILLA
BOONEVILLE, MS 38829-1010
Phone number: 662-368-3858
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