Brackin, Mary Joan

Brackin, Mary Joan is an individual health care provider with primary practice located at 11631 Cohansey Rd , San Diego CA 92131-3617. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Brackin, Mary Joan can be contacted via phone (161) 984-0603.

Contact Information

Primary practice address
11631 Cohansey Rd San Diego CA 92131-3617
Phone: (161) 984-0603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X NONE California

Profile Details

NPI number 1801550652
LBN Legal business name Brackin, Mary Joan
Credentials HEALTH COACH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2021
Last updated Oct 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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