| NPI | 1174251300 |
|---|---|
| Former Legal Business Name | REJUVENATE MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | JESIKA CASEY Case Manager 858-248-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |