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Organization
SUNDANCE LIFE ENRICHMENT, INC.
Active
Organization
SUNDANCE LIFE ENRICHMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEA PHINNEY RIDLEY (PRESIDENT)
(530) 401-2078
Entity
Organization
Contact information
Practice address
3875 TAYLOR RD STE 204G, LOOMIS, CA 95650-9273
(530) 401-2078
Mailing address
PO BOX 1525, LOOMIS, CA 95650-1525
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
50023
CA
Other
Enumeration date
04/04/2015
Last updated
04/04/2015
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