Individual
VIDYAWATI DEVI ITWARU-WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 579-1124
Mailing address
5951 FISH CT, ORLANDO, FL 32807-2956
(407) 928-5538
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3254656
FL
Other
Enumeration date
01/23/2024
Last updated
01/30/2024
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