| NPI | 1578455101 |
|---|---|
| Doing Business As | REVIVE WOUND & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | VASSIL VALOV Operating Manager 716-308-5283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |