Marcia Enos, CHT
Individual provider Active NPI Health & Wellness Coach · Crestline, CA
NPI 1831802040 · NPPES record last updated Jan 3, 2023
Key facts
- NPI
- 1831802040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 25112 Boa Dr # 1831
Crestline, CA 92325-9676 - Phone
- (909) 300-5665
- NPI assigned
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Yes |
Addresses
Primary practice location
25112 Boa Dr # 1831
Crestline, CA 92325-9676
Mailing address
25112 Boa Dr # 1831
Crestline, CA 92325-9676
Phone (909) 454-2864
Other providers in Crestline, CA
- Noreen Contreras
- Crest Forest Fire Protection District
- Jodi Lynn Dewhirst
- Dr. John Bueler Jr Chiropractic Prof Corporation
- Afiawan Ekpo
- Bethany Evans
- Kevin Ewert
- Michael E Ewert
- Megan Fallis
- Family Service Agency of San Bernardino
All providers in Crestline, CA · Health & Wellness Coach in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.