| NPI | 1225913916 |
|---|---|
| Doing Business As | REVITALIZED LIFESTYLE MEDICINE CONSULTING |
| Entity Type | Organization |
| Authorized Contact | KALYN JOLIVETTE Owner And Physician 740-202-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |