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Organization

REVITALIZED HEALTH AND WELLNESS COUNSELING

Active
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Organization

REVITALIZED HEALTH AND WELLNESS COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACIE SMITH MS, RD, LD (CO-OWNER)
(281) 794-4539
Entity
Organization

Contact information

Practice address
2539 GRANBERRY PT, MISSOURI CITY, TX 77459-1389
(281) 794-4539
Mailing address
3130 GRANTS LAKE BLVD UNIT 17863, SUGAR LAND, TX 77496-0887

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
07/04/2022
Last updated
07/04/2022
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