| Slimming Grace Llc | |
|
1901 Johnson Ave Unit 3371 Kingman AZ 86402-1616 | |
| (928) 279-5076 | |
| (949) 695-3692 |
| Full Name | Slimming Grace Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 Johnson Ave Unit 3371, Kingman, Arizona |
| Authorized Official Name and Position | Danni Owens (OWNER) |
| Authorized Official Contact | 9282795076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slimming Grace Llc Po Box 3371 Kingman AZ 86402-3371 Ph: (928) 279-5076 | Slimming Grace Llc 1901 Johnson Ave Unit 3371 Kingman AZ 86402-1616 Ph: (928) 279-5076 |
| NPI Number | 1104691468 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104691468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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