Individual
MS. MARY JOAN BRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HEALTH COACH
Contact information
Practice address
11631 COHANSEY RD, SAN DIEGO, CA 92131-3617
(161) 984-0603
Mailing address
11631 COHANSEY RD, SAN DIEGO, CA 92131-3617
(161) 984-0603
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
NONE
CA
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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