Mary Joan Brackin, Health Coach
Prevention Professional in San Diego, CA. Individual provider (NPI-1).
NPI number1801550652
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1801550652
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Joan Brackin
- Credential
- Health Coach
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2021
- Certification date
- Oct 27, 2021
- Last updated
- Oct 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 405300000X | Prevention Professional | none | CA | Yes |
Practice location
11631 Cohansey RdSan Diego, CA 92131-3617
Phone 161-984-0603
Mailing address
11631 Cohansey RdSan Diego, CA 92131-3617
Phone 161-984-0603
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All 5 Prevention Professional providers in San Diego · All 61,118 providers in San Diego
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