Individual
MS. CHRISTINA LACKLEY-BAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10787 WESTPOINT ST, TAYLOR, MI 48180-3483
(313) 550-7338
Mailing address
10787 WESTPOINT ST, TAYLOR, MI 48180-3483
(313) 550-7338
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
757930
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
764-1109
HOME HELP PROVIDER
MI
Enumeration date
02/14/2022
Last updated
02/14/2022
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