NPI 1003745332

Liberty Rose Logan

Practitioner Health & Wellness Coach Agoura Hills, CA

Practice location

Address: 6050 Calmfield Ave, Agoura Hills, CA 91301-2104
Phone: (818) 991-4940

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence 230090840 (CA)

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Registry record

NPI: 1003745332
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2026
Record last updated: 3 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.