Ma Revive
NPI #1609581917 in Antioch, Tennessee
Provider Information
- NPI Number
- 1609581917
- Entity Type
- Organization
- Organization Name
- Ma Revive
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 20, 2023
- Last Updated
- Oct 2, 2024
Practice Location
Authorized Official
- Name
- KEISHA HIGGINS
- Title
- OWNER
- Phone
- (855) 738-4832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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