Individual
MELISSA ANN CAUDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHE, CWP
Contact information
Practice address
7070 RUNNING IRON LN, POCATELLO, ID 83204-3817
(208) 406-3131
Mailing address
7070 RUNNING IRON LN, POCATELLO, ID 83204-3817
(208) 406-3131
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
ID
174H00000X
Health Educator
Primary
—
ID
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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