Organization
NEOTERIC VITALITY PRIMARY CARE AND AESTHETICS
Active
Other names
Neoteric Vitality Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JANIKA WALLACE DO (OWNER/PHYSICIAN)
(302) 374-0308
Entity
Organization
Contact information
Practice address
601 TOWER LN STE 100, MIDDLETOWN, DE 19709-1763
(302) 374-0308
(302) 204-6306
Mailing address
601 TOWER LN STE 100, MIDDLETOWN, DE 19709-1763
(302) 374-0308
(302) 204-6306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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