| NPI | 1942012448 |
|---|---|
| Doing Business As | VIDA WELLNESS |
| Entity Type | Organization |
| Authorized Contact | GLORIA E GONZALEZ Owner 971-207-3419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-02-03 |