Individual
LORETTA B TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
3561 BOXWOOD DR, GRAPEVINE, TX 76051-4229
(618) 578-1413
Mailing address
3561 BOXWOOD DR, GRAPEVINE, TX 76051-4229
(618) 578-1413
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
CA
172V00000X
Community Health Worker
—
IL
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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