Mind Belly Soul Nutrition LLC
NPI #1093432841 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1093432841
- Entity Type
- Organization
- Organization Name
- Mind Belly Soul Nutrition LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Oct 24, 2022
- Last Updated
- Oct 24, 2022
Practice Location
- Address
- 1807 WATERLOO ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19122-2422
- Phone
- (678) 656-5830
Authorized Official
- Name
- HANNAH PFOHL, MS, RD, LDN
- Title
- REGISTERED DIETITIAN
- Phone
- (678) 656-5830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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