Individual
KELLY J WILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3350 BURKE RD APT 117, PASADENA, TX 77504-2838
(713) 205-7822
Mailing address
3350 BURKE RD APT 117, PASADENA, TX 77504-2838
(713) 205-7822
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/26/2023
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