Organization
FUN FIT VIBE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MERVINE (COACH)
(302) 249-8000
Entity
Organization
Contact information
Practice address
1604 SAVANNAH RD, LEWES, DE 19958-1662
(302) 249-8000
Mailing address
PO BOX 142, NASSAU, DE 19969-0142
(302) 249-8000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017525
DE
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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