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Organization
TIMELESS BODIES
Active
Organization
TIMELESS BODIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE MICHAEL WALLACE (OWNER, TRAINER, COACH)
(248) 895-7285
Entity
Organization
Contact information
Practice address
272 PALM DR APT 3, NAPLES, FL 34112-4938
(248) 895-7285
Mailing address
272 PALM DR APT 3, NAPLES, FL 34112-4938
(248) 895-7285
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
NULL
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
03/14/2024
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