Individual
KRISTINA MATTHIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBCHWC
Contact information
Practice address
1105 RITA LN, NICEVILLE, FL 32578-2120
(706) 992-5629
Mailing address
1105 RITA LN, NICEVILLE, FL 32578-2120
(706) 992-5629
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3695065
FL
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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