Organization
VITALITY SLIM CLINIC LIMITED LIABILITY COMPANY
Active
Other names
Vitality Slim Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FRED AUZENNE (MANAGER)
(480) 544-4467
Entity
Organization
Contact information
Practice address
10229 N SCOTTSDALE RD STE B, SCOTTSDALE, AZ 85253-1437
(855) 475-4636
Mailing address
10115 E BELL RD STE 107, #504, SCOTTSDALE, AZ 85260-2189
(855) 475-4636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
10/07/2024
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