| NPI | 1740058247 |
|---|---|
| Other Name | A&S VITALITY COVID SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHARON NGWASHA NCHONKO Owner 1 469-667-5895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |