| NPI | 1225550551 |
|---|---|
| Doing Business As | REVIVE LOW T CLINIC |
| Entity Type | Organization |
| Authorized Contact | BARRY WHEELER Member 425-516-5500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60120417) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |