Organization
BRIGHT SKY NUTRITION, LLC
Active
Other names
Sunshine Weight Loss Club, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LADONNA MARIE WEBB RD, LD, CDE (OWNER/DIETITIAN)
(417) 343-8222
Entity
Organization
Contact information
Practice address
3543 S LONE PINE AVE, SPRINGFIELD, MO 65804-4854
(417) 343-8222
(866) 542-3416
Mailing address
3243 W KATELLA CT, SPRINGFIELD, MO 65807-8713
(417) 343-8222
(866) 542-3416
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2004029834
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073807384
—
MO
Enumeration date
06/09/2016
Last updated
07/06/2016
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