Organization
MIND BLOOM WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEMIMA LAMPTEY (CEO)
(209) 486-2590
Entity
Organization
Contact information
Practice address
1221 LA FIESTA DR, GRAND PRAIRIE, TX 75052-5404
(209) 486-2590
Mailing address
1221 LA FIESTA DR, GRAND PRAIRIE, TX 75052-5404
(209) 486-2590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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