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Organization
V&R REJUVENATION DRIP BAR LLC
Active
Organization
V&R REJUVENATION DRIP BAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDALYNN TOLBERT NP (NURSE PRACTITIONER, CO-OWNER)
(850) 260-2684
Entity
Organization
Contact information
Practice address
1119 IOLA DR, CHIPLEY, FL 32428-6302
(850) 260-2684
Mailing address
1119 IOLA DR, CHIPLEY, FL 32428-6302
(850) 260-2684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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