Organization
REJUVENATE MEDICAL SPAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD NISSAN (OWNER)
(520) 297-8033
Entity
Organization
Contact information
Practice address
7315 N ORACLE RD, TUCSON, AZ 85704-6319
(520) 297-8033
Mailing address
7315 N ORACLE RD, TUCSON, AZ 85704-6319
(520) 297-8033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
16259
AZ
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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