Organization
VIBRANT LIFE HEALTH COACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY ROUNDS (OWNER)
(315) 777-2649
Entity
Organization
Contact information
Practice address
861 WATER ST, WATERTOWN, NY 13601-2115
(315) 777-2649
Mailing address
861 WATER ST, WATERTOWN, NY 13601-2115
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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