Individual
LISETE ANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNTP
Contact information
Practice address
8021 SEMINOLE ST, PHILADELPHIA, PA 19118-3915
(917) 488-1126
Mailing address
8021 SEMINOLE ST, PHILADELPHIA, PA 19118-3915
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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