Organization
VITALITY NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITALI KAPILA R.D. (OWNER)
(248) 961-0229
Entity
Organization
Contact information
Practice address
43155 MAIN ST, SUITE 305 B-1, NOVI, MI 48375-1777
(248) 961-0229
Mailing address
43155 MAIN ST, SUITE 305 B-1, NOVI, MI 48375-1777
(248) 961-0229
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
913707
MI
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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