REVITALIZE HYDRATION THERAPY, LLC

FLOWOOD, MS
NPI1285261123
Entity TypeOrganization
Authorized ContactJENNYE MARDIS
Staff
601-213-0069
Organization Subpart ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
Enumeration Date2020-03-23
Last Update Date2020-11-10
Business Address
REVITALIZE HYDRATION THERAPY, LLC
885 LIBERTY RD STE 300
FLOWOOD, MS 39232-9006
Phone number: 601-213-0069
Mailing Address
REVITALIZE HYDRATION THERAPY, LLC
885 LIBERTY RD STE 300
FLOWOOD, MS 39232-9006
Phone number: 601-213-0069
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