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Organization

REVIVE WELLNESS CENTER, LLC

Active
Other names
Dr. Artemis Morris, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
EMMANUEL SERGENTAKIS (OWNER)
(203) 387-1540
Entity
Organization

Contact information

Practice address
867 WHALLEY AVE, NEW HAVEN, CT 06515-1728
(203) 387-1540
(203) 387-8151
Mailing address
867 WHALLEY AVE, NEW HAVEN, CT 06515-1728
(203) 387-1540
(203) 387-8151

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
205
CT
175F00000X
Naturopath
Primary
240
CT

Other

Enumeration date
11/29/2006
Last updated
11/05/2018
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