| NPI | 1689415911 |
|---|---|
| Doing Business As | REVIVE HEALTH |
| Doing Business As | REVIVE MEN'S HEALTH |
| Entity Type | Organization |
| Authorized Contact | JACKSON TEA Manager 626-429-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |