DR. REVIVAJENNZ MED SPA, PLLC

ANN ARBOR, MI
NPI1083310312
Entity TypeOrganization
Authorized ContactJENNIFER THOMAS-GOERING
Medical Director
734-355-3566
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2023-02-07
Last Update Date2023-02-07
Business Address
DR. REVIVAJENNZ MED SPA, PLLC
418 S WAGNER RD
ANN ARBOR, MI 48103-1944
Phone number: 734-355-3566
Mailing Address
DR. REVIVAJENNZ MED SPA, PLLC
4870 BIRKDALE DR
ANN ARBOR, MI 48103-9743
Phone number: 734-355-3566