Revelation Inc.

NPI #1730731589 in Decorah, Iowa

Provider Information

NPI Number: 1730731589
Entity Type: Organization
Organization Name: Revelation Inc.
Primary Specialty: Mastectomy Fitter
Enumeration Date: Jul 11, 2019
Last Updated: Nov 18, 2021

Practice Location

Address: 111 E WATER ST
City: Decorah
State: Iowa
ZIP Code: 52101-1801
Phone: (563) 382-6212

Authorized Official

Name: RENEE CARLSON
Title: OWNER
Phone: (563) 382-6212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mastectomy Fitter	224900000X	Primary

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