| NPI | 1679062483 |
|---|---|
| Doing Business As | REVITALIZED HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOHN RICHARD FLAUDING Owner/Nurse Practitioner 720-361-2302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |