Revive Medspa LLC
NPI #1992553903 in Hunt Valley, Maryland
Provider Information
- NPI Number
- 1992553903
- Entity Type
- Organization
- Organization Name
- Revive Medspa LLC
- Primary Specialty
- Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine
- Enumeration Date
- May 7, 2024
- Last Updated
- May 7, 2024
Practice Location
- Address
- 11350 MCCORMICK RD STE 800
- City
- Hunt Valley
- State
- Maryland
- ZIP Code
- 21031-1002
- Phone
- (410) 261-6199
Authorized Official
- Name
- BRANDI TANASESCU
- Title
- CFO
- Phone
- (410) 812-5871
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine — Preventive Medicine/Occupational Environmental Medicine |
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