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Organization
VITALITY HEALTH CLINIC PLLC
Active
Organization
VITALITY HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAWYA KAZAN AGPCNP-BC (NURSE PRACTITIONER)
(313) 414-0703
Entity
Organization
Contact information
Practice address
4245 S BEECH DALY ST STE 102, DEARBORN HEIGHTS, MI 48125-1576
(313) 414-0703
Mailing address
4245 S BEECH DALY ST, DEARBORN HEIGHTS, MI 48125-1576
(313) 414-0703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/28/2024
Last updated
04/18/2024
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