Organization
BODY TO SOUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BIANCHINI (OWNER)
(631) 704-0751
Entity
Organization
Contact information
Practice address
119 S WESTERN AVE STE 213, CHICAGO, IL 60612-4643
(888) 383-5616
Mailing address
23 PENELOPE LN, HUNTINGTON, NY 11743-5910
(631) 704-0751
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
03/14/2024
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