Organization
TRIBUTE HEALTH & REVIVAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY PARKZES (OWNER)
(240) 355-9479
Entity
Organization
Contact information
Practice address
7801 OLD BRANCH AVE STE 411, CLINTON, MD 20735-1608
(301) 835-2683
Mailing address
7801 OLD BRANCH AVE STE 411, CLINTON, MD 20735-1608
(301) 835-2683
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R219756
MD BON
MD
Enumeration date
01/31/2021
Last updated
12/01/2023
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