Organization
VITALITY MED LLC
Active
Organization
VITALITY MED LLC
Active
Other names
Vitality Med
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARNA MARIE REVLOCK APRN (OWNER)
(330) 936-6863
Entity
Organization
Contact information
Practice address
128 WERTZ AVE NW STE A, CANTON, OH 44708-4196
(330) 936-6863
Mailing address
2210 UNIVERSITY DR SE, MASSILLON, OH 44646-7443
(330) 936-6863
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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