Organization
SOLUNA VITALITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA CERESA RIDGEWAY DO (OWNER AND MEDICAL DIRECTOR)
(443) 569-1990
Entity
Organization
Contact information
Practice address
15948 FREDERICK RD, WOODBINE, MD 21797-8526
(301) 664-4280
Mailing address
15948 FREDERICK RD, WOODBINE, MD 21797-8526
(301) 664-4280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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