Organization
TAKE BACK YOUR LIFE WEIGHT LOSS SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRYNA SANCHEZ (PRACTICE ADMINISTRATOR)
(602) 595-5145
Entity
Organization
Contact information
Practice address
6005 S 36TH ST, PHOENIX, AZ 85042-4901
(602) 595-5145
(602) 595-5302
Mailing address
6005 S 36TH ST, PHOENIX, AZ 85042-4901
(602) 595-5145
(602) 595-5302
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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