Pure Life Recovery

NPI 1225422066 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1225422066
Enumeration Date 03/18/2015
Last Updated 03/18/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JEFFREY JEFFREY
Position PRESIDENT
Phone (949) 393-5033
Fax
Practice Location
1 CALLE SALTAMONTES
SAN CLEMENTE CA, 92673-7004, US
Phone (949) 393-5033
Fax
Business Location
1620 CENTRAL AVE
SUITE 202
CHEYENNE WY, 82001-4557, US
Phone
Fax
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
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According to our database, Pure Life Recovery NPI is 1225422066, taxonomy code is 291U00000X Pure Life Recovery physically located at 1 Calle Saltamontes, San Clemente CA, 92673-7004. NPI Number 1033115704 has the healthcare provider type.

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1225422066 NPI number is provided on an as is basis without warranty of any kind. 1225422066 is maintained by the National Plan & Provider Enumeration System. The contents of Pure Life Recovery are for informational purposes only.