Individual
ANEISHA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 470-6900
Mailing address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 470-6900
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
3269849
FL
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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