Revive Aesthetics & Spa Wasilla, LLC

NPI #1982237921 in Wasilla, Alaska

Provider Information

NPI Number
1982237921
Entity Type
Organization
Organization Name
Revive Aesthetics & Spa Wasilla, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Feb 18, 2020
Last Updated
Feb 18, 2020

Practice Location

Address
1175 N LEATHERLEAF LOOP STE F
State
Alaska
ZIP Code
99654-6527
Phone
(907) 373-7546

Authorized Official

Name
ERIN MORROW
Title
OPERATIONS MANAGER
Phone
(907) 373-7546

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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