NPI | 1902542913 |
---|---|
Doing Business As | VITALS HEALTHCARE SERVICES |
Doing Business As | VITALS HEALTHCARE SVCS |
Entity Type | Organization |
Authorized Contact | PHEDRE PHARA PAULEMON Np/Owner 917-907-0797 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-05-11 |
Last Update Date | 2025-09-16 |