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Revive Aesthetics & Spa Wasilla, Llc
Clinic/Center in Wasilla, Alaska
NPI 1982237921

Revive Aesthetics & Spa Wasilla, Llc is a Clinic/Center based in Wasilla, AK. Revive Aesthetics & Spa Wasilla, Llc practices in Wasilla, AK. The NPI Number for Revive Aesthetics & Spa Wasilla, Llc is 1982237921 and holds a License No. (Alaska).

The current practice location address for Revive Aesthetics & Spa Wasilla, Llc is 1175 N Leatherleaf Loop Ste F, Wasilla, AK and can be reached out via phone at 907-373-7546 and via fax at 907-373-7536.

Location: 1175 N Leatherleaf Loop Ste F, Wasilla, AK, 99654-6527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982237921
Provider Name
Revive Aesthetics & Spa Wasilla, Llc
Credential
Provider Entity Type
Organization
Address
1175 N Leatherleaf Loop Ste F, Wasilla, AK, 99654-6527
Phone Number
907-373-7546
Fax Number
907-373-7536
Provider Enumeration Date
02/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1175 N Leatherleaf Loop Ste F
City
Wasilla
State
Alaska
Zip
99654-6527
Phone Number
907-373-7546
Fax Number
907-373-7536
person
Provider Business Mailing Address Details
Address
1175 N Leatherleaf Loop Ste F
City
Wasilla
State
Alaska
Zip
99654-6527
Phone Number
907-373-7546
Fax Number
907-373-7536
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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