Organization
RI-VIVE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRMARITA LEWIS NP (FAMILY NURSE PRACITIONER)
(707) 470-2888
Entity
Organization
Contact information
Practice address
1652 W TEXAS ST STE 115, FAIRFIELD, CA 94533-5952
(707) 470-2888
(866) 626-0793
Mailing address
1250 OLIVER RD # 1116, FAIRFIELD, CA 94534-3467
(707) 386-9644
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
07/28/2022
Last updated
07/05/2024
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