Organization · Type 2 NPI
Vitality Wellness Clinic LLC
Specialist · D'iberville, MS
NPI number
1760741698
Active
Practice location
3200 Mallett Rd, D-3
D'iberville, MS 39540-9305
Fax (228) 392-0902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 20041 (MS) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
About NPI 1760741698
Vitality Wellness Clinic LLC's National Provider Identifier is 1760741698, issued on May 12, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in D'iberville, MS. The record was last updated on Aug 28, 2012.