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Organization
THE HEALING BOWL
Active
Organization
THE HEALING BOWL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTLE WHITE (ADMINISTRATOR)
(248) 513-0722
Entity
Organization
Contact information
Practice address
9209 MINOCK ST, DETROIT, MI 48228-1759
(248) 513-0722
Mailing address
9209 MINOCK ST, DETROIT, MI 48228-1759
(248) 513-0722
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
NULL
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
09/16/2026
Last updated
09/16/2026
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