REVIVE WELLNESS AND AESTHETICS LLC

INDIANOLA, MS
NPI1669291308
Entity TypeOrganization
Authorized ContactEMILY AUST
Cfnp/Owner
662-445-2213
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2024-10-09
Last Update Date2024-10-09
Business Address
REVIVE WELLNESS AND AESTHETICS LLC
110A S MLK JR DR
INDIANOLA, MS 38751-2622
Phone number: 662-445-2213
Mailing Address
REVIVE WELLNESS AND AESTHETICS LLC
110A S MLK JR DR
INDIANOLA, MS 38751-2622
Phone number: 662-445-2213
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