Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X | |||
Point of Service |
305S00000X |
| NPI Number | 1225648397 |
| LBN Legal business name | C.L.U.B BLESSED WEIGHT MANAGEMENT INC. |
| Authorized official | STEPHANIE BARBOZA - (FITNESS & NUTRITION SPECIALIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/04/2020 |
| Last updated | 08/04/2020 - About 6 years ago |
| Identifiers | n/a |
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