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Revive Wellness And Aesthetics Valid NPI

Organization · Family Nurse Practitioner · Eagle, ID

NPI
1548940752
Type
Organization (Type 2)
Primary specialty
Family Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LF0000X
Enumerated
2023-07-21
Last updated
2023-07-21
Practice location
445 S Fitness Pl # 130
Eagle, ID 83616-6828
(208) 939-2332

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