# TAKE BACK YOUR LIFE WEIGHT LOSS SOLUTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164931754
- **Authorized official:** IRYNA SANCHEZ (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (602) 595-5145

## Contact information

- **Practice address:** 6005 S 36TH ST, PHOENIX, AZ 85042-4901
- **Practice address phone:** (602) 595-5145
- **Practice address fax:** (602) 595-5302
- **Mailing address:** 6005 S 36TH ST, PHOENIX, AZ 85042-4901
- **Mailing address phone:** (602) 595-5145
- **Mailing address fax:** (602) 595-5302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2017
- **Last updated:** 07/21/2022