| C.l.u.b Blessed Weight Management Inc. | |
|
250 Main St Pawtucket RI 02860-4016 | |
| (774) 379-9761 | |
| Not Available |
| Full Name | C.l.u.b Blessed Weight Management Inc. |
|---|---|
| Speciality | Psychologist - Exercise & Sports |
| Location | 250 Main St, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Stephanie Jean Barboza (FITNESS & WEIGHT MANAGEMENT COACH) |
| Authorized Official Contact | 7743799761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C.l.u.b Blessed Weight Management Inc. 102 Moore St Providence RI 02907-1505 Ph: (774) 379-9761 | C.l.u.b Blessed Weight Management Inc. 250 Main St Pawtucket RI 02860-4016 Ph: (774) 379-9761 |
| NPI Number | 1891307187 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891307187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Primary |
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