Organization
IV REVIVAL SERVICES PLLC
Active
Other names
IV Revival
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER EASTMAN MSN, RN (OWNER)
(607) 329-5414
Entity
Organization
Contact information
Practice address
7373 N SCOTTSDALE RD STE D235, SCOTTSDALE, AZ 85253-5515
(607) 329-5414
Mailing address
2781 E SAN TAN ST, CHANDLER, AZ 85225-4069
(607) 329-5414
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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