NPI 1720450067

Jacquelyne Renee Anton, NBCHWCANDMS

Practitioner Health & Wellness Coach Boise, ID

Practice location

Address: 4100 E Wildhorse Ln, Boise, ID 83712-7593
Phone: (704) 608-1568

Registered specialties (2)

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence ID-A3435452 (ID)

Other Health & Wellness Coach providers in Idaho →

Other Technician

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence PSG-055 (ID)

Other Technician, Other providers in Idaho →

Registry record

NPI: 1720450067
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2015
Record last updated: 24 Jan 2022

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.