CORE REVIVE / SOUL REVIVE LLC

Nutrition Support Registered Nurse

NPI: 1154826980Organization

Specialties, Licenses & Credentials

Diabetes Educator Registered Nurse

Registered Nurse — Diabetes Educator

Code: 163WD0400X

846331(CA)

Nutrition Support Registered NursePrimary

Registered Nurse — Nutrition Support

Code: 163WN1003X

846331(CA)

Contact & Hours

Address: 16 QUEENS LN
PETALUMA, CA 94952
Phone: (707) 559-5347

Quick Facts

NPI: 1154826980
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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