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Organization
VITALIZE MEDICAL VASCULAR AND WELLNESS CENTER LLC
Active
Organization
VITALIZE MEDICAL VASCULAR AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANA SEIBLES DO (OWNER)
(301) 497-1590
Entity
Organization
Contact information
Practice address
9201 CHERRY LANE, LAUREL, MD 20708
(301) 497-1590
(240) 334-4781
Mailing address
9201 CHERRY LANE, LAUREL, MD 20708
(301) 497-1590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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