Provider Demographics
NPI:1679129506
Name:THE CURVYFITGIRL, LLC
Entity type:Organization
Organization Name:THE CURVYFITGIRL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOANYETT
Authorized Official - Middle Name:LACRE
Authorized Official - Last Name:MAYS-SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-426-2769
Mailing Address - Street 1:1500 FLORIN RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-4206
Mailing Address - Country:US
Mailing Address - Phone:916-426-2769
Mailing Address - Fax:
Practice Address - Street 1:1500 FLORIN RD STE 1
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-4206
Practice Address - Country:US
Practice Address - Phone:916-426-2769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health