Organization
VITA MODERN HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARIAH STEPHENS (OWNER)
(510) 910-1959
Entity
Organization
Contact information
Practice address
731 N TREMONT ST, OCEANSIDE, CA 92054-2145
(510) 910-1959
Mailing address
731 N TREMONT ST, OCEANSIDE, CA 92054-2145
(510) 910-1959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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