| NPI | 1851150833 |
|---|---|
| Doing Business As | MANIFEST WEIGHT LOSS: LOSE WEIGHT, LOVE LIFE, NO RESTRICTIONS. |
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE IFEANYICHUKWU Chief Executive Officer 443-531-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |