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Contact Information

REVIVERSHIP
162 S. RANCHO SANTA FE RD.
A-30
ENCINITAS, CA92024
 Phone: 858-956-0077
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for REVIVERSHIP · (Female)

NPI Number 1922764067
Status Active
Credentials
Entity Individual
Enumeration date 11/12/2021
Last updated 11/12/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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