| NPI | 1700377876 |
|---|---|
| Doing Business As | REVERED HOLISTIC HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | ADETUTU AWODIPE Owner 443-621-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R194691) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2023-06-01 |