| NPI | 1720786726 |
|---|---|
| Doing Business As | PURA VITALITY LLC |
| Entity Type | Organization |
| Authorized Contact | TAHERA ENGLISH Nurse Practitioner/Owner 678-770-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |