REVITALIZE LIFE CENTER A PC

LONG BEACH, CA
NPI1679102248
Entity TypeOrganization
Authorized ContactEBONY D FOSTER
Billing Support
562-457-6010
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2020-04-06
Last Update Date2020-04-06
Business Address
REVITALIZE LIFE CENTER A PC
3939 ATLANTIC AVE STE 100
LONG BEACH, CA 90807-3529
Phone number: 562-457-6010
Mailing Address
REVITALIZE LIFE CENTER A PC
3939 ATLANTIC AVE STE 100
LONG BEACH, CA 90807-3529
Phone number: 562-457-6010
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