Organization
VIVANTE WEIGHT LOSS AND HEALTH
Active
Other names
Success Weight Loss System LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MARIE MCINTYRE (CERTIFIED HEALTH COACH/NUTRITIONIST)
(505) 433-2674
Entity
Organization
Contact information
Practice address
6911 TAYLOR RANCH RD NW, SUITE C8, ALBUQUERQUE, NM 87120-2963
(505) 433-2674
Mailing address
6911 TAYLOR RANCH RD NW, SUITE C8, ALBUQUERQUE, NM 87120-2963
(505) 433-2674
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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