My Vive Health and Fitness INC
NPI #1275155293 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1275155293
- Entity Type
- Organization
- Organization Name
- My Vive Health and Fitness INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 13, 2020
- Last Updated
- Jul 2, 2021
Practice Location
- Address
- 500 3RD AVE
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-5810
- Phone
- (570) 371-3572
Authorized Official
- Name
- BRENT OLIVER
- Title
- AUTHORIZED OFFICIAL
- Phone
- (570) 371-3572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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