REVIVE SPA HYDRATION PLLC
Infusion Therapy Clinic/Center · TACOMA, WA
Organization Active NPI 1326712100
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | ✓ | — | — |
| Infusion Therapy Registered Nurse | 163WI0500X | — | — | |
| Nutrition Support Registered Nurse | 163WN1003X | — | — | |
| Clinic/Center | 261Q00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.