| NPI | 1972317204 |
|---|---|
| Doing Business As | ALTA WEIGHT LOSS AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LENA BRANSOM Owner 360-682-9848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |