Organization
VITAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LIZA ABANIEL SAMPAYAN RN, PT (OWNER)
(808) 388-2690
Entity
Organization
Contact information
Practice address
2119 WAIOLA ST APT 104, HONOLULU, HI 96826-2805
(808) 388-2690
Mailing address
2119 WAIOLA ST APT 104, HONOLULU, HI 96826-2805
(808) 388-2690
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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