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Diva Weight Loss Llc
Health Service Clinic/Center in Ridgeland, Mississippi
NPI 1417230186

Diva Weight Loss Llc is a Health Service Clinic/Center based in Ridgeland, MS and is specialized in Health Service. Diva Weight Loss Llc practices in Ridgeland, MS. The NPI Number for Diva Weight Loss Llc is 1417230186 and holds a License No. R869964 (Mississippi).

The current practice location address for Diva Weight Loss Llc is 604 Goodridge Dr, Ridgeland, MS and can be reached out via phone at 769-251-1040.

Location: 604 Goodridge Dr, Ridgeland, MS, 39157-4402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417230186
Provider Name
Diva Weight Loss Llc
Credential
Provider Entity Type
Organization
Address
604 Goodridge Dr, Ridgeland, MS, 39157-4402
Phone Number
769-251-1040
Fax Number
Provider Enumeration Date
09/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
604 Goodridge Dr
City
Ridgeland
State
Mississippi
Zip
39157-4402
Phone Number
769-251-1040
Fax Number
person
Provider Business Mailing Address Details
Address
604 Goodridge Dr
City
Ridgeland
State
Mississippi
Zip
39157-4402
Phone Number
769-251-1040
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
R869964 (Mississippi)
Definition
Definition to come...
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