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NPI Code Detail

MEDICARE: MS. THERESE ANN HORTON

MEDICARE: MS. THERESE ANN HORTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness Coach

General Provider Information

NPI Number : 1962789610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. THERESE ANN HORTON
Provider Business Mailing Address
First Line : 1060 HARBOR HEIGHTS DR UNIT G
Second Line :
City : HARBOR CITY
State : CA
Zip : 90710-3094
Country : US
Telephone Number : 916-233-8634
Fax Number :
Provider Business Practice Location Address
First Line : 330 N BRAND BLVD STE 700
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2336
Country : US
Telephone Number : 916-233-8634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2011
Last Update Date : 02/25/2025

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Directions to “ MS. THERESE ANN HORTON ” Practice Location

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