REVITALIZE IV HYDRATION AND WELLNESS CLINC LLC

JONESBORO, AR
NPI1871369272
Entity TypeOrganization
Authorized ContactFELICA JOHNSON
Fnp
870-273-4164
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2023-11-28
Last Update Date2023-12-04
Business Address
REVITALIZE IV HYDRATION AND WELLNESS CLINC LLC
2704 PHILLIPS DR STE A
JONESBORO, AR 72401-7399
Phone number: 870-955-5701
Mailing Address
REVITALIZE IV HYDRATION AND WELLNESS CLINC LLC
2704 PHILLIPS DR STE A
JONESBORO, AR 72401-7399
Phone number: 870-955-5701
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