REVIVAL LLC

BANGOR, ME
NPI1689444960
Entity TypeOrganization
Authorized ContactSTEPHANIE RIEHL
Owner/Cnp
207-843-9591
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-01-08
Last Update Date2024-01-08
Business Address
REVIVAL LLC
139 STATE ST STE 2
BANGOR, ME 04401-5317
Phone number: 207-843-9591
Mailing Address
REVIVAL LLC
51 FLETCHER RD
DOVER FOXCROFT, ME 04426-3715
Phone number:
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