# VITAL TRADITIONS, LLC

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

## Provider details

- **NPI number:** 1558767228
- **Authorized official:** MR. JARED URCHEK M. AC. (ACUPUNCTURIST)
- **Authorized official phone:** (330) 606-6376

## Contact information

- **Practice address:** 1103 KIRKLYNN AVE, TAKOMA PARK, MD 20912-7519
- **Practice address phone:** (330) 606-6376
- **Mailing address:** 1103 KIRKLYNN AVE, TAKOMA PARK, MD 20912-7519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U02200 | MD | Yes |

## Other

- **Enumeration date:** 11/07/2014
- **Last updated:** 11/07/2014