Organization
REVAXIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN ANGELERI (OWNER)
(904) 618-6290
Entity
Organization
Contact information
Practice address
16432 45TH AVE E, TACOMA, WA 98446-4519
(090) 461-8629
Mailing address
16432 45TH AVE E, TACOMA, WA 98446-4519
(904) 618-6290
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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