Individual
BROOKE CASSOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
12675 CAMINO MIRA DEL MAR UNIT 170, SAN DIEGO, CA 92130-2572
(412) 760-7309
Mailing address
12675 CAMINO MIRA DEL MAR UNIT 170, SAN DIEGO, CA 92130-2572
(412) 760-7309
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1989
RISELY HEALTH
—
Enumeration date
04/03/2023
Last updated
04/03/2023
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