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Organization
ELITE VITALITY WELLNESS, NURSING PROFESSIONAL CORPORATION
Active
Organization
ELITE VITALITY WELLNESS, NURSING PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA VEGA (CEO & PRESIDENT)
(310) 387-2410
Entity
Organization
Contact information
Practice address
3231 W 132ND ST, HAWTHORNE, CA 90250-5503
(310) 387-2410
Mailing address
3231 W 132ND ST, HAWTHORNE, CA 90250-5503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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