Revitalize Integrated Body Systems
NPI #1124341813 in Menlo Park, California
Provider Information
- NPI Number
- 1124341813
- Entity Type
- Organization
- Organization Name
- Revitalize Integrated Body Systems
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 9, 2010
- Last Updated
- Mar 9, 2010
Practice Location
- Address
- 1618 EL CAMINO REAL
- City
- Menlo Park
- State
- California
- ZIP Code
- 94025-4112
- Phone
- (408) 295-9970
Authorized Official
- Name
- DR. ANGELIQUE WAITE, D.C.
- Title
- PRESIDENT
- Phone
- (408) 295-9970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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