Organization
VITALITY MEDICAL INFUSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE E FOULKES DEROMERO CRNA (OWNER)
(202) 427-5382
Entity
Organization
Contact information
Practice address
5530 WISCONSIN AVE STE 1640, CHEVY CHASE, MD 20815-4305
(240) 630-8254
Mailing address
5530 WISCONSIN AVE STE 1640, CHEVY CHASE, MD 20815-4305
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/26/2020
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