Individual
JACQUELINE MCCOY-MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 VETERANS WAY, MELBOURNE, FL 32940-8007
(407) 492-3376
Mailing address
421 WENTHROP CIR, ROCKLEDGE, FL 32955-4743
(321) 863-4256
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3519544
FL
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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