Organization
BREATH OF ELAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM LATTIMORE DHSC, MPAS, PA-C, CH (PROGRAM DEVELOPMENT COORDINATOR)
(281) 967-3452
Entity
Organization
Contact information
Practice address
3619 QUARTER HORSE TRL, MANVEL, TX 77578-3571
(281) 967-3452
Mailing address
9212 FRY RD STE 105, CYPRESS, TX 77433-5487
(346) 708-4587
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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