PHYSICIANS WEIGHT MANAGEMENT CENTERS, INC
Dietitian and Nutritionist at Mesquite Ave, Lake Havasu City, AZ

License number
Arizona 1000019413
Category
Dietitian and Nutritionist
Type
Dietary Manager
Owner
Name: MARCIA COX
Title: OWNER
Phone: (928) 854-7962
Address
Address
1930 Mesquite Ave SUITE 2, Lake Havasu City, AZ 86403
National Provider ID: 1215252697
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIANS WEIGHT MANAGEMENT CENTERS, INC

Lake Havasu City, AZ

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Delinquent annual report
Registration:
Sep 17, 2008
Inactive since:
Dec 24, 2014
Addresses:
Suite 10 SUITE 101, Lake Havasu City, AZ 86403 (Physical)
1930 Mesquite Ave, Lake Havasu City, AZ 86403
State ID:
-1477469-6
Expiration:
PERPETUAL
President, Owner, Principal:
Marcia Cox President, Owner, Principal, inactive, 1481 Mojave Dr, Lake Havasu City, AZ 86406 (Physical)

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