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Organization
MANTRA WEIGHT LOSS, PLLC
Active
Organization
MANTRA WEIGHT LOSS, PLLC
Active
Other names
Mantra Aesthetic Studio
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA COOK (OWNER)
(757) 201-0843
Entity
Organization
Contact information
Practice address
3009 ELM TREE CT, VIRGINIA BEACH, VA 23452-6796
(757) 201-0843
Mailing address
3009 ELM TREE CT, VIRGINIA BEACH, VA 23452-6796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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