Organization · Type 2 NPI
Rejuventa Medical Corp.
Primary Care Clinic/Center · Centralia, WA
NPI number
1013550987
Active
Practice location
1755 Kresky Ave.
Centralia, WA 98531
Fax (360) 669-0121
Mailing address
1755 Kresky Ave. Box 16
Centralia, WA 98531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1013550987
Rejuventa Medical Corp.'s National Provider Identifier is 1013550987, issued on Oct 23, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Centralia, WA. The record was last updated on Oct 17, 2023.