Organization
REVIVE INFUSION BAR
Active
Other names
Revive Infusion Bar
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HILL AGACNP (NP)
(804) 277-9992
Entity
Organization
Contact information
Practice address
7272 HANOVER GREEN DR STE B, MECHANICSVILLE, VA 23111-1706
(804) 277-9997
Mailing address
7272 HANOVER GREEN DR STE B, MECHANICSVILLE, VA 23111-1706
(804) 277-9997
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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