Individual
SIMON HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 LIBERTY ST, SANTA MARIA, CA 93458-6806
(805) 361-4625
Mailing address
3912 CRESTMONT DR, SANTA MARIA, CA 93455-3026
(760) 445-7720
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
2170B30F6C
CA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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