Individual
TRISTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 VERNON ST, WORCESTER, MA 01610-3626
(802) 282-8233
Mailing address
115 VERNON ST, WORCESTER, MA 01610-3626
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2591
HEALTH COACH
—
Enumeration date
01/11/2022
Last updated
01/11/2022
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