Organization
FONS VITAE INTL, INC
Active
Organization
FONS VITAE INTL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ORTIZ (CREDENTIALING ADM)
(301) 519-9200
Entity
Organization
Contact information
Practice address
6144 OXON HILL RD, OXON HILL, MD 20745-3107
(202) 215-0245
Mailing address
1220 N ST NW APT 4A, WASHINGTON, DC 20005-5161
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0078086
MD
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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