Individual
BYRON URDANETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 SAN MARIN DR, NOVATO, CA 94945-1117
(415) 898-2121
Mailing address
15 SAN MARIN DR, NOVATO, CA 94945-1117
(415) 898-2121
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1F1994E4D2
CA
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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