Organization
VESSEL: BODHI MIND AND SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA E HENRY RN (OWNER)
(315) 527-8300
Entity
Organization
Contact information
Practice address
1805 DUNN BROOK RD, BOONVILLE, NY 13309-4219
(315) 527-8300
Mailing address
1805 DUNN BROOK RD, BOONVILLE, NY 13309-4219
(315) 527-8300
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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