Individual
LANI KIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 MADONNA RD, SAN LUIS OBISPO, CA 93405-6587
(805) 701-0367
Mailing address
845 MADONNA RD # B1A-101, SAN LUIS OBISPO, CA 93405-6587
(805) 701-0367
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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