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Organization
VITAL HEALTH, PLLC
Active
Organization
VITAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SEGNER (OWNER)
(360) 775-8386
Entity
Organization
Contact information
Practice address
414 HOWE RD, PORT ANGELES, WA 98362-8198
(360) 775-8386
Mailing address
414 HOWE RD, PORT ANGELES, WA 98362-8198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
WA
Enumeration date
04/15/2019
Last updated
04/15/2019
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