| NPI | 1013501261 |
|---|---|
| Former Legal Business Name | HEALTHY LIFESTYLE CONSULTANT AND COACH |
| Entity Type | Organization |
| Authorized Contact | JOANA A TALA Owner/Manager 951-268-6924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-02-26 |