Organization
VIGOR INTEGRATIVE WELLNESS LLC
Active
Other names
VIGOR INTEGRATIVE WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
KERNIBA GHONEIM (OWNER)
(301) 569-2502
Entity
Organization
Contact information
Practice address
1201 SEVEN LOCKS RD STE 360, ROCKVILLE, MD 20854-6901
(301) 569-2502
Mailing address
1201 SEVEN LOCKS RD STE 360, ROCKVILLE, MD 20854-6901
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/19/2023
Last updated
02/14/2023
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