Individual
TAYLOR TYCE-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12925 YUKON AVE, HAWTHORNE, CA 90250-5421
(310) 644-9216
Mailing address
1720 N FULLER AVE APT 547, LOS ANGELES, CA 90046-3078
(240) 481-7955
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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