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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVIVE SALON AND SPA

Active Organization

REVIVE SALON AND SPA is a Family Nurse Practitioner organization located in SAN DIEGO, California. NPI 1619415072 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SAN DIEGO, CA

Registration Details

NPI Number
1619415072
Provider Type
Organization
NPI Issued
Feb 6, 2017 (9.5220301897996 yrs)
Last Updated
Feb 6, 2017
License
95005931 (CA)

Practice Information

Address
5965 VILLAGE WAY
E207
SAN DIEGO, CA, 921302475
Browse CA providers · Browse ZIP 92130
Phone
6192937233
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Organizations in SAN DIEGO, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.