Revive Stem

NPI #1821819210 in Highland, Utah

Provider Information

NPI Number
1821819210
Entity Type
Organization
Organization Name
Revive Stem
Primary Specialty
Home Infusion
Enumeration Date
Oct 18, 2024
Last Updated
Oct 18, 2024

Practice Location

Address
11469 N BROADLEAF HOLLOW LN
State
Utah
ZIP Code
84003-5632
Phone
(801) 550-7795

Authorized Official

Name
KRISTEN ELLSWORTH
Title
OWNER
Phone
(801) 550-7795

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Infusion TherapyInfusion Therapy
Home Infusion

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