Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
261QH0100X |
| NPI # | 1154016160 |
| LBN Legal business name | REGENERISE HEALTH LLC |
| Authorized official | AUTHURINE HANNAM-DAVIS - (APRN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/06/2023 |
| Last updated | 07/16/2023 - About 3 years ago |
| Identifiers | n/a |
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