Most Relevant Information
Provider Data
| NPI Number: | 1003540089 |
| Provider Name: | LATOYA DYAN ELLIS NBC-HWC |
| Entity Type: | Individual |
| Taxonomy Code: | 171400000X |
| Specialty: | Health & Wellness Coach |
| License Number: | A-3518216 |
Most Important Dates
| Enumeration Date: | 07/14/2022 |
| Last Updated: | 07/14/2022 |
Provider Practice Location
515 RED FOX CT
HENDERSONVILLE
NC
287929253
Practice Location Phone/Fax
| Phone: | 2102649948 |
| Fax: |
Provider Mailing Location
515 RED FOX CT
HENDERSONVILLE
NC
287929253
Provider Mailing Phone/Fax
| Phone: | 2102649948 |
| Fax: |