DIVA WEIGHT LOSS LLC

Clinic/Center - Health Service

Active Organization
NPI: 1417230186

Practice Address

604 GOODRIDGE DR
SUITE A
Ridgeland, MS 39157

Phone: (769) 251-1040

Specialties

Specialty Code Primary License
Clinic/Center - Health Service 261QH0100X Yes R869964 (MS)

Frequently Asked Questions

NPI 1417230186 is the National Provider Identifier for DIVA WEIGHT LOSS LLC, a Clinic/Center - Health Service provider located in Ridgeland, MS. This NPI was enumerated on September 20, 2011.

Quick Facts

NPI
1417230186
Type
Organization
Enumerated
Sep 20, 2011
Last Updated
Feb 13, 2012

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