Organization
BODY AND SOUL SOVEREIGNTY UNITED
Active
Other names
Bass United
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUANA RODRIGUEZ DNP, CNM, CCTP (EXECUTIVE DIRECTOR)
(833) 842-5577
Entity
Organization
Contact information
Practice address
20655 W LEGEND TRL, BUCKEYE, AZ 85396-1756
(833) 842-5577
(833) 842-5577
Mailing address
20655 W LEGEND TRL, BUCKEYE, AZ 85396-1756
(833) 842-5577
(833) 842-5577
Taxonomy
Speciality
Code
Description
License number
State
363LP1700X
Perinatal Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
481737
—
AZ
Enumeration date
03/09/2022
Last updated
03/09/2022
Update your record
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