| NPI | 1982349007 |
|---|---|
| Doing Business As | REVIVE CHIROPRACTIC GROUP |
| Entity Type | Organization |
| Authorized Contact | WILLIAM VY CEO 657-400-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-09-08 |