Individual
LISA TATARYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 ENCINITAS BLVD STE 114, ENCINITAS, CA 92024-3744
(858) 204-2896
Mailing address
1915 SKYKNOLL WAY, ENCINITAS, CA 92024-1937
(858) 204-2896
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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