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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MELINDA RAE VIKTORIA BLACK

Active Sole Proprietor

MELINDA RAE VIKTORIA BLACK is a Health & Wellness Coach healthcare provider located in HIGHLAND, Utah. NPI 1982422267 is currently active in the NPPES registry. Verify at CMS.

Health & Wellness Coach · HIGHLAND, UT

Registration Details

NPI Number
1982422267
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2024 (1.8378673007168 yrs)
Last Updated
Sep 26, 2024
License
A-3969671 (UT)
Sole Proprietor
Yes

Practice Information

Address
4518 CADDIE LN
HIGHLAND, UT, 840039552
Browse UT providers · Browse ZIP 84003
Phone
8017093944
Primary Specialty
Health & Wellness Coach
171400000X
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.