| NPI | 1932063716 |
|---|---|
| Doing Business As | MIND & BODY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ALYSSA MARSO Ap RN 573-200-6024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2025-12-15 |