Organization
THE WEIGHT LOSS AND PAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA HUNNICUTT BCHHP (CERTIFIED NUTRITIONIST/OWNER)
(580) 309-2828
Entity
Organization
Contact information
Practice address
1315 N WASHINGTON ST, WEATHERFORD, OK 73096-2443
(508) 309-2828
Mailing address
1315 N WASHINGTON ST, WEATHERFORD, OK 73096-2443
(580) 309-2828
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1111
—
OK
Enumeration date
06/16/2022
Last updated
06/16/2022
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