REVIVE WELLNESS AND AESTHETICS

EAGLE, ID
NPI1548940752
Entity TypeOrganization
Authorized ContactKELSEY MARTIN
Owner/Nurse Practitioner
217-617-2575
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2023-07-21
Last Update Date2023-07-21
Business Address
REVIVE WELLNESS AND AESTHETICS
445 S FITNESS PL # 130
EAGLE, ID 83616-6828
Phone number: 208-939-2332
Mailing Address
REVIVE WELLNESS AND AESTHETICS
4253 N SORREL PL
BOISE, ID 83703-3487
Phone number:
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