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Organization

REJUVAAH & REVVIVED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWANDA SHAREE FANTROY APRN (CO-FOUNDER)
(228) 235-6015
Entity
Organization

Contact information

Practice address
820 S UNIVERSITY BLVD STE 2K, MOBILE, AL 36609-7860
(251) 277-7373
(251) 277-7376
Mailing address
820 S UNIVERSITY BLVD STE 2K, MOBILE, AL 36609-7860
(251) 277-7373
(251) 277-7376

Taxonomy

Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary

Other

Enumeration date
02/06/2023
Last updated
02/06/2023
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