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Organization
VITA HEALTH INITIATIVE, LLC
Active
Organization
VITA HEALTH INITIATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZVITA MAZIVEYI (OWNER)
(504) 434-8476
Entity
Organization
Contact information
Practice address
258 GREEN MEADOWS RD, WILMER, TX 75172-3335
(504) 434-8476
Mailing address
258 GREEN MEADOWS RD, WILMER, TX 75172-3335
(504) 434-8476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/25/2022
Last updated
07/28/2022
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