| NPI | 1790377364 |
|---|---|
| Doing Business As | REVIVE FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | DAVID NGUYEN Owner 239-288-5748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |