Country Club Medical Weight Loss & Wellness Pllc
NPI #1205616398 in Mesa, Arizona
Provider Information
- NPI Number
- 1205616398
- Entity Type
- Organization
- Organization Name
- Country Club Medical Weight Loss & Wellness Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 5, 2023
- Last Updated
- Oct 5, 2023
Practice Location
Authorized Official
- Name
- MRS. FLORA ISSANDA STOWATER, NP
- Title
- OWNER/MANAGER
- Phone
- (480) 840-4777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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