Individual
MR. BRYAN PAUL BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHC
Contact information
Practice address
6801 SIOUX AVE, YUCCA VALLEY, CA 92284-2679
(760) 895-8233
Mailing address
6801 SIOUX AVE, YUCCA VALLEY, CA 92284-2679
(760) 895-8233
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
NY
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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