Organization
INNOVA VITA FITNESS, L.C.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BIGELOW (OWNER)
(602) 290-3651
Entity
Organization
Contact information
Practice address
2603 W OLLA CIR, MESA, AZ 85202-7870
(602) 290-3651
Mailing address
2603 W OLLA CIR, MESA, AZ 85202-7870
(602) 290-3651
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/22/2025
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