# SLIMMING GRACE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Slimming Grace LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104691468
- **Authorized official:** DANNI OWENS FNP (OWNER)
- **Authorized official phone:** (928) 279-5076

## Contact information

- **Practice address:** 1901 JOHNSON AVE UNIT 3371, KINGMAN, AZ 86402-1616
- **Practice address phone:** (928) 279-5076
- **Practice address fax:** (949) 695-3692
- **Mailing address:** PO BOX 3371, KINGMAN, AZ 86402-3371
- **Mailing address phone:** (928) 279-5076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2023
- **Last updated:** 11/16/2023