REVIVE CLINIC AND IV THERAPY LLC

BURKE, VA
NPI1578249942
Entity TypeOrganization
Authorized ContactMICHELLE BUTLER
Authorized Official
916-909-4910
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2023-06-22
Last Update Date2023-09-19
Business Address
REVIVE CLINIC AND IV THERAPY LLC
5631 BURKE CENTRE PKWY STE C
BURKE, VA 22015-2234
Phone number: 703-200-1015
Mailing Address
REVIVE CLINIC AND IV THERAPY LLC
5631 BURKE CENTRE PKWY STE C
BURKE, VA 22015-2234
Phone number:
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