| NPI | 1164172185 |
|---|---|
| Doing Business As | REVHEAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BLISS BOONE Owner/CEO 304-777-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |