| NPI | 1861175945 |
|---|---|
| Former Legal Business Name | MIND BODY SOUL |
| Entity Type | Organization |
| Authorized Contact | JAMILA BOWMAN Owner 609-820-4394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2025-09-02 |