| NPI | 1831912294 |
|---|---|
| Doing Business As | REVIVAL CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LYDIA GUIRGES CEO 909-667-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |