NPI | 1861273476 |
---|---|
Doing Business As | OPTIMAL WEIGHT LOSS |
Entity Type | Organization |
Authorized Contact | TAMICA NICHOLE D'AGUIAR Manager 856-340-8466 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2023-10-10 |
Last Update Date | 2023-10-10 |