Organization
A COACH FOR ME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANDEE PHYLLIS VAN NESS (OWNER)
(719) 510-6313
Entity
Organization
Contact information
Practice address
4740 FLINTRIDGE DR, STE 201, COLORADO SPRINGS, CO 80918-4253
(719) 510-6313
Mailing address
4740 FLINTRIDGE DR, STE 201, COLORADO SPRINGS, CO 80918-4253
(719) 510-6313
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
10/17/2009
Last updated
10/17/2009
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