institution
Mind Belly Soul Nutrition Llc
Health Service Clinic/Center in Philadelphia, Pennsylvania
NPI 1093432841

Mind Belly Soul Nutrition Llc is a Health Service Clinic/Center based in Philadelphia, PA and is specialized in Health Service. Mind Belly Soul Nutrition Llc practices in Philadelphia, PA. The NPI Number for Mind Belly Soul Nutrition Llc is 1093432841 and holds a License No. (Pennsylvania).

The current practice location address for Mind Belly Soul Nutrition Llc is 1807 Waterloo St, Philadelphia, PA and can be reached out via phone at 678-656-5830.

Location: 1807 Waterloo St, Philadelphia, PA, 19122-2422
institution
Provider Profile Details
NPI Number
1093432841
Provider Name
Mind Belly Soul Nutrition Llc
Credential
Provider Entity Type
Organization
Address
1807 Waterloo St, Philadelphia, PA, 19122-2422
Phone Number
678-656-5830
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730799222 01 PA NPPES
institution
Provider Business Practice Location Address Details
Address
1807 Waterloo St
City
State
Zip
19122-2422
Phone Number
678-656-5830
Fax Number
person
Provider Business Mailing Address Details
Address
1807 Waterloo St
City
State
Zip
19122-2422
Phone Number
678-656-5830
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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