| NPI | 1205459161 |
|---|---|
| Former Legal Business Name | REJUVENATE U WELLNESS CLINIC PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | MELISSA ROMULUS PAULINE Founder 678-979-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2025-03-31 |