Individual
JACQUELINE ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ICF, ACC, PCC
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
CA
174H00000X
Health Educator
Primary
—
—
261QC1800X
Corporate Health Clinic/Center
—
CA
302F00000X
Exclusive Provider Organization
—
CA
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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