Organization
NEWPORT C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRINA VALOVATSKAIA (PRESIDENT)
(267) 242-6420
Entity
Organization
Contact information
Practice address
548 NEWPORT CIR, FEASTERVILLE TREVOSE, PA 19053-2489
(267) 242-6420
Mailing address
548 NEWPORT CIR, FEASTERVILLE TREVOSE, PA 19053-2489
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
07/30/2022
Last updated
08/30/2022
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