Amelia Kathleen Cancilla, DTTAC LIFESTYLE COAC

NPI #1669960530 in John Day, Oregon

Provider Information

NPI Number: 1669960530
Entity Type: Individual
Name: Amelia Kathleen Cancilla, DTTAC LIFESTYLE COAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Health Educator
Credential: DTTAC LIFESTYLE COAC
Enumeration Date: Apr 26, 2018
Last Updated: Apr 26, 2018

Practice Location

Address: 528 E MAIN ST STE E
City: John Day
State: Oregon
ZIP Code: 97845-1289
Phone: (541) 575-0429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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