Provider Demographics
NPI:1699537415
Name:REYNOSO, FLORIANNE (C-HEALTHCOACH)
Entity type:Individual
Prefix:
First Name:FLORIANNE
Middle Name:
Last Name:REYNOSO
Suffix:
Gender:F
Credentials:C-HEALTHCOACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15644 POMERADO RD STE 204
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2419
Mailing Address - Country:US
Mailing Address - Phone:949-545-4817
Mailing Address - Fax:
Practice Address - Street 1:15644 POMERADO RD STE 204
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2419
Practice Address - Country:US
Practice Address - Phone:949-545-4817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach