Organization
REVIVE CLINIC AND IV THERAPY LLC
Active
Other names
Revive Clinic and IV Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GURDEV SINGH DIRECTOR (DIERCTOR)
(703) 585-4942
Entity
Organization
Contact information
Practice address
7000 INFANTRY RIDGE RD STE 110A, MANASSAS, VA 20109-2370
(703) 828-8089
Mailing address
7000 INFANTRY RIDGE RD STE 110A, MANASSAS, VA 20109-2370
(703) 828-8089
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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