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Organization

HEART AND SOUL COLLABORATIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN HOOPER M.P.H., CHES (CEO/FOUNDER)
(951) 255-1510
Entity
Organization

Contact information

Practice address
7000 INDIANA AVE STE 114, RIVERSIDE, CA 92506-4155
(951) 255-1510
Mailing address
19069 VAN BUREN BLVD STE 114-431, RIVERSIDE, CA 92508-9169
(951) 255-1510

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
10/21/2022
Last updated
10/25/2022
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