Vitality Aesthetics and Wellness, LLC
NPI #1841725454 in Fayetteville, West Virginia
Provider Information
- NPI Number
- 1841725454
- Entity Type
- Organization
- Organization Name
- Vitality Aesthetics and Wellness, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 21, 2017
- Last Updated
- Apr 21, 2017
Practice Location
- Address
- 211 W MAPLE AVE
- City
- Fayetteville
- State
- West Virginia
- ZIP Code
- 25840-1445
- Phone
- (304) 574-9876
Authorized Official
- Name
- MARY E LAGOS
- Title
- OPERATIONS MANAGER
- Phone
- (304) 574-9876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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