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Revitalized Family Care
Family Nurse Practitioner in Sonora, California
NPI 1508488750

Revitalized Family Care is a Family Nurse Practitioner based in Oakdale, CA and is specialized in Family. Revitalized Family Care practices in Sonora, CA. The NPI Number for Revitalized Family Care is 1508488750 and holds a License No. (California).

The current practice location address for Revitalized Family Care is 673 Pauline Ct, Sonora, CA and can be reached out via phone at 209-404-6746.

Location: 673 Pauline Ct, Sonora, CA, 95361-7850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508488750
Provider Name
Revitalized Family Care
Credential
Provider Entity Type
Organization
Address
673 Pauline Ct, Sonora, CA, 95361-7850
Phone Number
209-404-6746
Fax Number
Provider Enumeration Date
05/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
673 Pauline Ct
City
Sonora
State
California
Zip
95370-5216
Phone Number
209-404-6746
Fax Number
person
Provider Business Mailing Address Details
Address
673 Pauline Ct
City
Sonora
State
California
Zip
95370-5216
Phone Number
209-404-6746
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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