Vitality Health Clinic Pllc
NPI #1689430407 in Dearborn Heights, Michigan
Provider Information
- NPI Number
- 1689430407
- Entity Type
- Organization
- Organization Name
- Vitality Health Clinic Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 28, 2024
- Last Updated
- Apr 18, 2024
Practice Location
- Address
- 4245 S BEECH DALY ST STE 102
- City
- Dearborn Heights
- State
- Michigan
- ZIP Code
- 48125-1576
- Phone
- (313) 414-0703
Authorized Official
- Name
- RAWYA KAZAN, AGPCNP-BC
- Title
- NURSE PRACTITIONER
- Phone
- (313) 414-0703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Family Medicine |
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