Organization
VITALCORE WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RAQUEL CASSANDRA REID APRN (FAMILY NURSE PRACTITIONER)
(610) 389-8697
Entity
Organization
Contact information
Practice address
218 ELIASON DR, MIDDLETOWN, DE 19709-3311
(610) 389-8697
Mailing address
218 ELIASON DR, MIDDLETOWN, DE 19709-3311
(610) 389-8697
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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