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1790404713
VITALIY MEDICAL AESTHETICS
WORCESTER, MA
NPI
1790404713
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Entity Type
Organization
Authorized Contact
ALICE WANGARI WAITHAKA
Family Nurse Practitioner
857-701-5425
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
VITALIY MEDICAL AESTHETICS
10 DIXFIELD RD
WORCESTER, MA 01606-1084
Phone number: 857-701-5425
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Mailing Address
VITALIY MEDICAL AESTHETICS
10 DIXFIELD RD
WORCESTER, MA 01606-1084
Phone number: 857-701-5425
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