Provider Demographics
NPI:1710858741
Name:MAGUIRE, ANGELA (RYT-500)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:MAGUIRE
Suffix:
Gender:F
Credentials:RYT-500
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 LAKE MICHIGAN DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-1607
Mailing Address - Country:US
Mailing Address - Phone:310-775-1521
Mailing Address - Fax:609-879-3584
Practice Address - Street 1:19 LAKE MICHIGAN DR
Practice Address - Street 2:
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-1607
Practice Address - Country:US
Practice Address - Phone:310-775-1521
Practice Address - Fax:609-879-3584
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach