Organization
MIND BELLY SOUL NUTRITION LLC
Active
Organization
MIND BELLY SOUL NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH PFOHL MS, RD, LDN (REGISTERED DIETITIAN)
(678) 656-5830
Entity
Organization
Contact information
Practice address
1807 WATERLOO ST, PHILADELPHIA, PA 19122-2422
(678) 656-5830
Mailing address
1807 WATERLOO ST, PHILADELPHIA, PA 19122-2422
(678) 656-5830
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730799222
NPPES
PA
Enumeration date
10/24/2022
Last updated
10/24/2022
Update your record
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