Individual
SHAWNDREA RAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 W 164TH ST, GARDENA, CA 90247-4917
(310) 986-4893
Mailing address
805 W 164TH ST, GARDENA, CA 90247-4917
(310) 986-4893
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202013910622
DOMESTIC
CA
Enumeration date
02/27/2023
Last updated
11/12/2023
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