Organization
VITAL RD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CRANDALL RD (OWNER)
(303) 562-4500
Entity
Organization
Contact information
Practice address
7564 S XENIA CT, CENTENNIAL, CO 80112-2730
(303) 562-4500
Mailing address
7564 S XENIA CT, CENTENNIAL, CO 80112-2730
(303) 562-4500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
10/07/2025
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