Organization
VIBRANCE SCREENING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAUNDRIA FREDRICK (OWNER)
(803) 386-7719
Entity
Organization
Contact information
Practice address
223 CALICO CT, WEST COLUMBIA, SC 29172-2608
(803) 383-5818
Mailing address
1304 SUNSET BLVD # 1161, WEST COLUMBIA, SC 29169-5914
(803) 386-7719
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
05/06/2024
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