Provider Demographics
NPI:1891556486
Name:MURRAY, SUZETTE M (HEALTH COACH IHP)
Entity Type:Individual
Prefix:
First Name:SUZETTE
Middle Name:M
Last Name:MURRAY
Suffix:
Gender:F
Credentials:HEALTH COACH IHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 S COUNTRY GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2612
Mailing Address - Country:US
Mailing Address - Phone:714-510-4848
Mailing Address - Fax:
Practice Address - Street 1:1175 S COUNTRY GLEN WAY
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-2612
Practice Address - Country:US
Practice Address - Phone:714-510-4848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach