Individual
PATRICIA HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1168 CARMONA PLACE, ST. AUGUSTINE, FL 32092
(904) 859-6294
Mailing address
1168 CARMONA PLACE, ST. AUGUSTINE, FL 32092
(904) 859-6294
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
574897240
FL
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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