| NPI | 1275189151 |
|---|---|
| Doing Business As | REVOLUTIONARY HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JAMIE KOONCE Licensed Acupuncturist/Owner 501-538-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |