Organization
BODY WELLNESS INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA NEWSOME DC (OWNER)
(602) 842-5533
Entity
Organization
Contact information
Practice address
625 W SOUTHERN AVE STE E, MESA, AZ 85210-5018
(602) 842-5533
Mailing address
625 W SOUTHERN AVE STE E, MESA, AZ 85210-5018
(602) 842-5533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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