Revive Aesthetics & Spa Wasilla, Llc | |
1175 N Leatherleaf Loop Ste F Wasilla AK 99654-6527 | |
(907) 373-7546 | |
(907) 373-7536 |
Full Name | Revive Aesthetics & Spa Wasilla, Llc |
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Speciality | Clinic/center |
Location | 1175 N Leatherleaf Loop Ste F, Wasilla, Alaska |
Authorized Official Name and Position | Erin Morrow (OPERATIONS MANAGER) |
Authorized Official Contact | 9073737546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Revive Aesthetics & Spa Wasilla, Llc 1175 N Leatherleaf Loop Ste F Wasilla AK 99654-6527 Ph: (907) 373-7546 | Revive Aesthetics & Spa Wasilla, Llc 1175 N Leatherleaf Loop Ste F Wasilla AK 99654-6527 Ph: (907) 373-7546 |
NPI Number | 1982237921 |
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Provider Enumeration Date | 02/18/2020 |
Last Update Date | 02/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982237921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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