Individual
RIE WALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1301 N A ST, LOMPOC, CA 93436-3516
(805) 550-9099
Mailing address
1301 N A ST, LOMPOC, CA 93436-3516
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
D5746DCB5B
CA
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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