| NPI | 1568224152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA LARAE Holistic Health Practitioner 760-530-8073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |