Revive Salon And Spa

LBN: Revive Salon And Spa
Revive Salon And Spa is an health care organization with primary practice located at 5965 Village Way E207, San Diego CA 92130-2475. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Revive Salon And Spa can be contacted via phone (619) 293-7233, or through Eichert, Mary Lynn Elizabeth via phone (704) 516-6782.

Contact Information

Primary practice address
5965 Village Way E207 San Diego CA 92130-2475
Phone: (619) 293-7233
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eichert, Mary Lynn Elizabeth Nurse Practitioner (NP)
Phone: (704) 516-6782

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95005931 California

Profile Details

NPI number 1619415072
LBN Legal business name Revive Salon And Spa
DBA Doing business as
Authorized official Eichert, Mary Lynn Elizabeth Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2017
Last updated Feb 6th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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