Individual
LYZA VALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
390 N EUCLID AVE, UPLAND, CA 91786-4763
(909) 949-7804
Mailing address
390 N EUCLID AVE, UPLAND, CA 91786-4763
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1AC2D7C90B
CA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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