Individual
LATASHA MARIE GREEN MCCULLOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 W ORANGETHORPE AVE STE 116, FULLERTON, CA 92833-4237
(714) 353-2970
Mailing address
2500 W ORANGETHORPE AVE STE 116, FULLERTON, CA 92833-4237
(714) 353-2970
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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