Individual
TRACY SUZANNE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
4453 MOUNT LINDSEY AVE, SAN DIEGO, CA 92117-3939
(858) 205-8288
Mailing address
4453 MOUNT LINDSEY AVE, SAN DIEGO, CA 92117-3939
(858) 205-8288
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3184194
CA
Other
Enumeration date
05/15/2023
Last updated
05/22/2023
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