Organization
BODYMINDSOUL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN ALAN PRINCE (OWNER)
(907) 375-0930
Entity
Organization
Contact information
Practice address
626 CORDOVA ST, SUITE 105, ANCHORAGE, AK 99501-3715
(907) 375-0930
(907) 375-0960
Mailing address
626 CORDOVA ST, SUITE 105, ANCHORAGE, AK 99501-3715
(907) 375-0930
(907) 375-0960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
437243
AK
Other
Enumeration date
03/27/2010
Last updated
03/27/2010
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