| NPI | 1467248252 |
|---|---|
| Doing Business As | REVIVE WOUND GROUP |
| Entity Type | Organization |
| Authorized Contact | SAMUEL GERSON CEO 619-241-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-21 |