RELEVARE GROUP INCORPORATED
Osteopathic Medicine at Fulton Rd, Santa Rosa, CA

License number
California A0736012
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MR. MICHAEL LEE MEDVIN M.D.
Title: OWNER
Phone: (707) 888-5808
Address
Address 2
1287 Fulton Rd, Santa Rosa, CA 95401
PO Box 1770, La Mesa, CA 91944
National Provider ID: 1396085569
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Relevare Group Incorporated

Santa Rosa, CA  -  Glendale, CA

Registration:
Dec 19, 2012
Addresses:
122 Calistoga Rd, Santa Rosa, CA 95409
100 W Broadway, Glendale, CA 91210
State ID:
03525230
Business type:
Articles of Incorporation
President:
Michael L. Medvin (President)

Relevare Group Incorporated

1287 Fulton Rd, Santa Rosa, CA 95401

Industry:
Nonclassifiable Establishments

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