Individual
VIVIAN ELVIRA JURADO-FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
120 SUSSEX PL APT 13, BOHEMIA, NY 11716-3920
(631) 204-7381
(631) 204-7381
Mailing address
120 SUSSEX PL APT 13, BOHEMIA, NY 11716-3920
(631) 204-7381
(631) 204-7381
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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