Organization
VITAL HEALING FUNCTIONAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA GORANS CNP (SOLE MEMBER)
(605) 472-0404
Entity
Organization
Contact information
Practice address
1760 CENTRE ST STE B, RAPID CITY, SD 57703-4035
(605) 872-0404
(605) 472-7304
Mailing address
1760 CENTRE ST STE B, RAPID CITY, SD 57703-4035
(605) 872-0404
(605) 472-7304
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
10/25/2023
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