Organization
SUCCESS IN LIFE WEIGHT MANAGEMENT
Active
Other names
Lite for Life
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA J HICKS (OWNER)
(650) 323-5483
Entity
Organization
Contact information
Practice address
713 OAK GROVE AVE, MENLO PARK, CA 94025-4319
(650) 323-5483
Mailing address
713 OAK GROVE AVE, MENLO PARK, CA 94025-4319
(650) 323-5483
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/10/2011
Last updated
09/10/2011
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