REVITAL METRO

MORGANTOWN, WV
NPI1427593425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-12-29
Last Update Date2024-09-04
Business Address
REVITAL METRO
1075 VAN VOORHIS RD STE 150
MORGANTOWN, WV 26505
Phone number: 304-598-6216
Mailing Address
REVITAL METRO
PO BOX 780
MORGANTOWN, WV 26507-0780
Phone number: 304-285-7101