CORE REVIVE / SOUL REVIVE LLC

Nutrition Support Registered Nurse · PETALUMA, CA

Organization Active NPI 1154826980

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Nutrition Support Registered Nurse163WN1003X846331CA
Diabetes Educator Registered Nurse163WD0400X846331CA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.