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Organization
REVIVE WELLNESS AND BEAUTY, LLC
Active
Organization
REVIVE WELLNESS AND BEAUTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MCKINZIE FNP-C (OWNER)
(619) 201-0835
Entity
Organization
Contact information
Practice address
10593 E AMERICAN PRIDE DR, SAN TAN VALLEY, AZ 85143-7978
(619) 201-0835
Mailing address
10593 E AMERICAN PRIDE DR, SAN TAN VALLEY, AZ 85143-7978
(619) 201-0835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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