| Diet Of A Lifetime, Llc | |
|
123 S Pine St Pine Bluff AR 71601-4222 | |
| (870) 540-9114 | |
| Not Available |
| Full Name | Diet Of A Lifetime, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 123 S Pine St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Debra C Goldmon (OWNER) |
| Authorized Official Contact | 8705409114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diet Of A Lifetime, Llc 420 Sandy Bayou Ln Pine Bluff AR 71603-6555 Ph: (870) 850-0351 | Diet Of A Lifetime, Llc 123 S Pine St Pine Bluff AR 71601-4222 Ph: (870) 540-9114 |
| NPI Number | 1811553555 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 05/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811553555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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