institution
Core Revive / Soul Revive Llc
Nutrition Support Registered Nurse in Petaluma, California
NPI 1154826980

Core Revive / Soul Revive Llc is a Nutrition Support Registered Nurse based in Petaluma, CA and is specialized in Nutrition Support. Core Revive / Soul Revive Llc practices in Petaluma, CA. The NPI Number for Core Revive / Soul Revive Llc is 1154826980 and holds a License No. 846331 (California).

The current practice location address for Core Revive / Soul Revive Llc is 16 Queens Ln, Petaluma, CA and can be reached out via phone at 707-559-5347.

Location: 16 Queens Ln, Petaluma, CA, 94952-1047
institution
Provider Profile Details
NPI Number
1154826980
Provider Name
Core Revive / Soul Revive Llc
Credential
Provider Entity Type
Organization
Address
16 Queens Ln, Petaluma, CA, 94952-1047
Phone Number
707-559-5347
Fax Number
Provider Enumeration Date
03/26/2018
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
16 Queens Ln
City
State
Zip
94952-1047
Phone Number
707-559-5347
Fax Number
person
Provider Business Mailing Address Details
Address
16 Queens Ln
City
State
Zip
94952-1047
Phone Number
707-559-5347
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
License No.
846331 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Nutrition Support
Taxonomy
License No.
846331 (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.