Organization
MEDY WEIGHT LOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTEL BACKERT DC, NP-C (BUSINESS OWNER)
(209) 403-0951
Entity
Organization
Contact information
Practice address
15810 S. HARLAND ROAD STE B, LATHROP, CA 84220-0105
(209) 299-4455
Mailing address
15810 S. HARLAND ROAD STE B, LATHROP, CA 84220-0105
(209) 403-0951
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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