Organization
VITALITY WELLNESS
Active
Parent organization
A
Organization subpart
Yes
Provider details
NPI number
Legal business name
A
Authorized official
MR. RON NERAD (CEO/OWNER)
(405) 509-3095
Entity
Organization
Contact information
Practice address
5740 NW 135TH ST., OKLAHOMA CITY, OK 73142
(405) 509-3095
(405) 603-3450
Mailing address
5740 NW 135TH ST., OKLAHOMA CITY, OK 73142
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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