| NPI | 1033949854 |
|---|---|
| Doing Business As | REJUVENATE RX |
| Entity Type | Organization |
| Authorized Contact | KAYLEE FAYE PHELPS Credentialing Specialist 859-625-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-09-23 |