Search › Arizona › 171100000X
Carol Revak, NMD
NPI 1154588127 · on the registry since 2008 · sole proprietor
Practice
- Address
- 640 S Tudor Pl
Tucson, AZ 85710 - Phone
- (520) 749-9655
- Fax
- (520) 239-8515
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona