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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
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