Organization
BODY & MIND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE HASS NP (OWNER)
(208) 751-9708
Entity
Organization
Contact information
Practice address
475 POLK ST STE F, TWIN FALLS, ID 83301-4864
(208) 751-9708
(208) 736-0890
Mailing address
475 POLK ST STE F, TWIN FALLS, ID 83301-4864
(208) 751-9708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
05/09/2023
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