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Organization
VIGOR INTEGRATIVE WELLNESS LLC
Active
Organization
VIGOR INTEGRATIVE WELLNESS LLC
Active
Other names
VIGOR INTEGRATIVE WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
KERNIBA GHONEIM (OWNER)
(301) 569-2502
Entity
Organization
Contact information
Practice address
1201 SEVEN LOCKS RD STE 360, ROCKVILLE, MD 20854-6901
(301) 569-2502
Mailing address
1201 SEVEN LOCKS RD STE 360, ROCKVILLE, MD 20854-6901
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/19/2023
Last updated
02/14/2023
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