Organization
MIND BODY SOUL WEIGHT REDUCTION CLINIC
Active
Other names
Mind Body Soul Weight Reduction Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIMAKA BOWENS (OFFICE MANAGER)
(601) 347-1023
Entity
Organization
Contact information
Practice address
296 BEAUVOIR RD # 319, BILOXI, MS 39531-4051
(601) 347-1023
Mailing address
PO BOX 313, PICAYUNE, MS 39466-0313
(601) 347-1023
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689067324
NPI
—
Enumeration date
01/09/2023
Last updated
01/09/2023
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