Vitalize Medical Vascular and Wellness Center LLC

NPI #1366202764 in Laurel, Maryland

Provider Information

NPI Number: 1366202764
Entity Type: Organization
Organization Name: Vitalize Medical Vascular and Wellness Center LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 21, 2024
Last Updated: Mar 21, 2024

Practice Location

Address: 9201 CHERRY LANE
City: Laurel
State: Maryland
ZIP Code: 20708
Phone: (301) 497-1590

Authorized Official

Name: AYANA SEIBLES, DO
Title: OWNER
Phone: (301) 497-1590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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