Individual
SUSAN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12205 LAKE STONE DR, AUSTIN, TX 78738-5493
(512) 731-8173
Mailing address
12205 LAKE STONE DR, AUSTIN, TX 78738-5493
(512) 731-8173
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
OR
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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