NPI Profile for BODY AND SOUL SOVEREIGNTY UNITED in BUCKEYE, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Perinatal |
363LP1700X | 50 | Nurse Practitioner |
| NPI # | 1790432680 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/09/2022 | |
| Last updated | 03/09/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BODY AND SOUL SOVEREIGNTY UNITED
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