Organization
SLIMMING GRACE LLC
Active
Other names
Slimming Grace LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANNI OWENS FNP (OWNER)
(928) 279-5076
Entity
Organization
Contact information
Practice address
1901 JOHNSON AVE UNIT 3371, KINGMAN, AZ 86402-1616
(928) 279-5076
(949) 695-3692
Mailing address
PO BOX 3371, KINGMAN, AZ 86402-3371
(928) 279-5076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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