Organization
CLINICA REVIVE SALUD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUBIA C LOMELI DNP, FNP-C (MEDICAL DIRECTOR)
(602) 892-0799
Entity
Organization
Contact information
Practice address
6524 W INDIAN SCHOOL RD STE A, PHOENIX, AZ 85033-3329
(602) 892-0799
(602) 892-0828
Mailing address
6524 W INDIAN SCHOOL RD STE A, PHOENIX, AZ 85033-3329
(602) 892-0799
(602) 892-0828
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
04/01/2024
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