Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ISSIMA JAVON CALDWELL JR.
Active Sole ProprietorISSIMA JAVON CALDWELL JR. is a Health & Wellness Coach healthcare provider located in TRACY, California. NPI 1770391120 is currently active in the NPPES registry. Verify at CMS.
Health & Wellness Coach · TRACY, CA
Registration Details
- NPI Number
- 1770391120
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2024 (1.6999180262532 yrs)
- Last Updated
- Jan 12, 2025
- Licenses
-
1503552 (CA)1503552 (CA)1503552 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1005 E PESCADERO AVE # SITE211TRACY, CA, 953048503Browse CA providers · Browse ZIP 95304
- Phone
- 2097672895
- Primary Specialty
-
Health & Wellness Coach
171400000X
- Additional Specialty
- 224Y00000X
- Additional Specialty
- Health & Wellness Coach
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.