Individual
TAWANDRA LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 HENRY AVE, PHILADELPHIA, PA 19129-1141
(215) 473-0776
(215) 473-7910
Mailing address
3300 HENRY AVE, PHILADELPHIA, PA 19129-1141
(215) 473-0776
(215) 473-7910
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
PA
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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