REVITALIZED FAMILY CARE

SONORA, CA
NPI1508488750
Entity TypeOrganization
Authorized ContactDAYNA IVERSON
President
209-404-6746
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2020-05-11
Last Update Date2020-05-11
Business Address
REVITALIZED FAMILY CARE
673 PAULINE CT
SONORA, CA 95370-5216
Phone number: 209-404-6746
Mailing Address
REVITALIZED FAMILY CARE
4906 WEBSTER RD
OAKDALE, CA 95361-7850
Phone number: 209-404-6746
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