Individual provider · Type 1 NPI

Maria-Celia Florence Revita

Other Technician · Southgate, MI

NPI number 1740680784 Active

Practice location

19291 Northline Rd Bldg 6
Southgate, MI 48195-2220

Call (734) 785-7726 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XL2427174 (MI)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1740680784

Maria-Celia Florence Revita's National Provider Identifier is 1740680784, issued on Aug 27, 2014. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Southgate, MI. The record was last updated on Oct 29, 2026.