Organization
MANTRA WEIGHT LOSS, PLLC
Active
Other names
Mantra Aesthetic Studio
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA COOK (OWNER)
(757) 201-0843
Entity
Organization
Contact information
Practice address
3009 ELM TREE CT, VIRGINIA BEACH, VA 23452-6796
(757) 201-0843
Mailing address
3009 ELM TREE CT, VIRGINIA BEACH, VA 23452-6796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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