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1003637448
REVITALIZE WELLNESS CENTER INC
FRESNO, CA
NPI
1003637448
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Entity Type
Organization
Authorized Contact
SHAZIA MALIK
Owner
559-507-3760
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-10-18
Last Update Date
2024-10-18
Business Address
REVITALIZE WELLNESS CENTER INC
5170 N FLOYA AVE
FRESNO, CA 93723
Phone number: 559-507-3760
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Mailing Address
REVITALIZE WELLNESS CENTER INC
5170 N FLOYA AVE
FRESNO, CA 93723
Phone number: 559-507-3760
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