NPI | 1750661203 |
---|---|
Doing Business As | CHESAPEAKE WEIGHT LOSS |
Entity Type | Organization |
Authorized Contact | RACHEL IRENE CHASTANET Co Owner 757-312-9444 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: VA 0101222153) |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: VA 0101043938) |
Enumeration Date | 2011-08-27 |
Last Update Date | 2018-05-29 |