C.l.u.b Blessed Weight Management Inc.

NPI #1891307187 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1891307187
Entity Type: Organization
Organization Name: C.l.u.b Blessed Weight Management Inc.
Primary Specialty: Psychologist - Exercise & Sports
Enumeration Date: Aug 19, 2020
Last Updated: Aug 19, 2020

Practice Location

Address: 250 MAIN ST
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-4016
Phone: (774) 379-9761

Authorized Official

Name: STEPHANIE JEAN BARBOZA, NUTRITION SPECIALIST
Title: FITNESS & WEIGHT MANAGEMENT COACH
Phone: (774) 379-9761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Exercise & Sports — Exercise & Sports	103TE1100X	Primary

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