| NPI | 1881352854 |
|---|---|
| Doing Business As | VITALITY MED |
| Entity Type | Organization |
| Authorized Contact | MARNA MARIE REVLOCK Owner 330-936-6863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |