# VEGA VITALITY VENTURES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275363384
- **Authorized official:** DR. KAITLYN CHU DNP (NURSE PRACTITIONER)
- **Authorized official phone:** (508) 320-3289

## Contact information

- **Practice address:** 551 BOYLSTON ST STE 4, BOSTON, MA 02116-3680
- **Practice address phone:** (617) 658-3421
- **Practice address fax:** (617) 604-1830
- **Mailing address:** 551 BOYLSTON ST STE 4, BOSTON, MA 02116-3680
- **Mailing address phone:** (617) 658-3421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2024
- **Last updated:** 08/14/2024