Individual
SAM ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
19819 ZADIE LANE NE, #604, INDIANOLA, WA 98342
(303) 718-6850
Mailing address
PO BOX 604, INDIANOLA, WA 98342-0604
(303) 718-6850
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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