# MINDFUL MOMENTS LIFE COACHING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801626486
- **Authorized official:** JOHN STAFFORD MA (PARTNER)
- **Authorized official phone:** (951) 387-4955

## Contact information

- **Practice address:** 45525 HIGHWAY 79 \# 53, AGUANGA, CA 92536-8601
- **Practice address phone:** (760) 459-4428
- **Mailing address:** 45525 HIGHWAY 79 \# 53, AGUANGA, CA 92536-8601
- **Mailing address phone:** (760) 459-4428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 08/07/2024