REVIVE STEM

HIGHLAND, UT
NPI1821819210
Entity TypeOrganization
Authorized ContactKRISTEN ELLSWORTH
Owner
801-550-7795
Organization Subpart ?No
Primary Taxonomy251F00000X Home Infusion
Additional Taxonomies261QI0500X Clinic/Center, Infusion Therapy
Enumeration Date2024-10-18
Last Update Date2024-10-18
Business Address
REVIVE STEM
11469 N BROADLEAF HOLLOW LN
HIGHLAND, UT 84003-5632
Phone number: 801-550-7795
Mailing Address
REVIVE STEM
11469 N BROADLEAF HOLLOW LN
HIGHLAND, UT 84003-5632
Phone number: