| NPI | 1124477104 |
|---|---|
| Former Legal Business Name | SUNSHINE WEIGHT LOSS CLUB, LLC |
| Entity Type | Organization |
| Authorized Contact | LADONNA MARIE WEBB Owner/Dietitian 417-343-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 2004029834) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-07-06 |