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Individual

FAYE WHATLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IHP

Contact information

Practice address
16001 SHANE DR, FORT BRAGG, CA 95437-7782
(707) 357-8728
Mailing address
16001 SHANE DR, FORT BRAGG, CA 95437-7782
(707) 357-8728

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
CA

Other

Enumeration date
06/18/2024
Last updated
06/18/2024
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