Renewed Vitality & Age Management, Pllc
NPI #1972086247 in Chesterfield, Virginia
Provider Information
- NPI Number
- 1972086247
- Entity Type
- Organization
- Organization Name
- Renewed Vitality & Age Management, Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 12, 2018
- Last Updated
- Sep 12, 2018
Practice Location
- Address
- 13141 EPPES FALLS RD
- City
- Chesterfield
- State
- Virginia
- ZIP Code
- 23838-1261
- Phone
- (804) 412-8384
Authorized Official
- Name
- LAWRENCE R PALMITER JR., FNP-C
- Title
- OWNER
- Phone
- (804) 412-8343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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