| Revitajuve Health And Business, Pllc | |
|
505 Vista Dr Easton PA 18042-7210 | |
| (609) 722-0071 | |
| (610) 601-4749 |
| Full Name | Revitajuve Health And Business, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 505 Vista Dr, Easton, Pennsylvania |
| Authorized Official Name and Position | Kimberly Derezil (OWNER AND CEO) |
| Authorized Official Contact | 8627559075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitajuve Health And Business, Pllc 526 N Saint Cloud St # 1560 Allentown PA 18104-5041 Ph: (609) 722-0071 | Revitajuve Health And Business, Pllc 505 Vista Dr Easton PA 18042-7210 Ph: (609) 722-0071 |
| NPI Number | 1093499915 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093499915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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