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Organization
REVIA HEALTH AND WELLNESS, LLC
Active
Organization
REVIA HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE SHERMAN NP (OWNER, NURSE PRACTITIONER)
(719) 494-3948
Entity
Organization
Contact information
Practice address
7641 N UNION BLVD, COLORADO SPRINGS, CO 80920-3863
(719) 582-5500
Mailing address
7641 N UNION BLVD, COLORADO SPRINGS, CO 80920-3863
(719) 494-3948
(949) 695-4411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/06/2024
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