| NPI | 1467282061 |
|---|---|
| Doing Business As | INFINITE REVIVAL, LLC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA FAGUNDES Np/Owner 774-451-2713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-10-02 |