| NPI | 1174374276 |
|---|---|
| Doing Business As | REVIVE INFUSION BAR |
| Entity Type | Organization |
| Authorized Contact | SANDRA HILL Np 804-277-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |