Organization
REVIVE MEDICAL SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAROLINA PRIEBE DNP (OWNER/PARTNER/NURSE PRACTITIONER)
(907) 371-1766
Entity
Organization
Contact information
Practice address
1905 COWLES ST STE B, FAIRBANKS, AK 99701-5914
(907) 371-1766
(907) 531-7365
Mailing address
1905 COWLES ST STE B, FAIRBANKS, AK 99701-5914
(907) 371-1766
(907) 531-7365
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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