Joshua Gruber
Health & Wellness Coach in Petersburg, VA. Individual provider (NPI-1).
NPI number1558090142
StatusActive
Last updated in NPPESJun 8, 2022
Details
- NPI
- 1558090142
- Entity type
- Individual (NPI-1)
- Name
- Joshua Gruber
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2022
- Certification date
- Jun 8, 2022
- Last updated
- Jun 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | – | – | Yes |
Practice location
531 S Sycamore StPetersburg, VA 23803-5039
Phone 757-705-1355
Mailing address
531 S Sycamore StPetersburg, VA 23803-5039
Phone 757-705-1355
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