Organization
MEN'S VITALITY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI MIGLORE DC (OWNER/MBR)
(480) 229-1986
Entity
Organization
Contact information
Practice address
4653 S LAKESHORE DR, SUITE 2, TEMPE, AZ 85282-7161
(480) 456-8981
Mailing address
12878 N 119TH ST, SCOTTSDALE, AZ 85259-2736
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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