Individual
MARA E EIFOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTP
Contact information
Practice address
440 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 203-8885
Mailing address
435 DOVE ST, OSHKOSH, WI 54902-4203
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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