Individual
IMANI VITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20008 CHAMPION FOREST DR, SPRING, TX 77379-8694
(713) 240-1837
Mailing address
4620 N BRAESWOOD BLVD APT 229, HOUSTON, TX 77096-2854
(682) 500-9273
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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