Individual
MATT BOMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2780 GEMINI CT, COLORADO SPRINGS, CO 80907-8908
(719) 695-2824
Mailing address
2780 GEMINI CT, COLORADO SPRINGS, CO 80907-8908
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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