Individual
TARA ADRIENNE LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN, FNLP
Contact information
Practice address
34161 YUCAIPA BLVD STE F, YUCAIPA, CA 92399-6109
(909) 797-1277
Mailing address
34161 YUCAIPA BLVD STE F, YUCAIPA, CA 92399-6109
(909) 797-1277
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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