NPI | 1518401181 |
---|---|
Doing Business As | THE WEIGHT LOSS & DIABETES CENTER |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JOHN MOSUNIC Owner 207-699-4225 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP141070) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ME PS1438) |
Enumeration Date | 2016-12-15 |
Last Update Date | 2017-02-28 |