Organization
REVITALIZE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM D HUGHES WHNP-BC, CNM (PRIMARY MEMBER)
(719) 695-0756
Entity
Organization
Contact information
Practice address
13535 MORNING SKY CT, PEYTON, CO 80831-8392
(719) 695-0756
Mailing address
13535 MORNING SKY CT, PEYTON, CO 80831-8392
(719) 695-0756
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
02/04/2021
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