Individual
TARAH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INHC
Contact information
Practice address
1384 E PISTIOA DR, MERIDIAN, ID 83642-5084
(208) 467-2187
Mailing address
1384 E PISTIOA DR, MERIDIAN, ID 83642-5084
(208) 467-2187
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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