Individual
JANELLE BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1771 UTICA AVE, BROOKLYN, NY 11234-2120
(718) 650-5551
Mailing address
2308 KNAPP ST, BROOKLYN, NY 11229-5924
(347) 803-8693
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3888911
NY
Other
Enumeration date
07/20/2024
Last updated
07/24/2024
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