Organization
WEIGHT LOSS AND VITALITY, INC
Active
Other names
Wellness and Vitality P C
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA WARD (OFFICE MANAGER)
(571) 550-9000
Entity
Organization
Contact information
Practice address
6020 RICHMOND HWY STE 100, ALEXANDRIA, VA 22303-2157
(571) 550-9000
Mailing address
6020 RICHMOND HWY STE 100, ALEXANDRIA, VA 22303-2157
(571) 550-9000
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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