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Organization
VITAM REVIVERE CORPORATION
Active
Organization
VITAM REVIVERE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD ROBERT SIGGINS ED.D. (PSYCHOLOGIST)
(530) 591-7284
Entity
Organization
Contact information
Practice address
327 COLLEGE ST STE 206, WOODLAND, CA 95695-3484
(916) 288-7484
Mailing address
327 COLLEGE ST STE 206, WOODLAND, CA 95695-3484
(916) 288-7484
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346665361
NPI
CA
01
—
1760860100
NPI
CA
Enumeration date
09/03/2019
Last updated
09/03/2019
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