Organization
REDEFYNE- SKIN & BODY REVIVAL
Active
Other names
Redefyne- Skin & Body Revival
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PHAM NP (OWNER)
(850) 207-4063
Entity
Organization
Contact information
Practice address
875 E NINE MILE RD STE 6, PENSACOLA, FL 32514-1708
(850) 542-7413
Mailing address
875 E NINE MILE RD STE 6, PENSACOLA, FL 32514-1708
(850) 542-7413
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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