Individual
SETAREH SEYEDEH BANISADR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 BRACEBRIDGE CT, CAMPBELL, CA 95008-6427
(669) 609-3328
Mailing address
1204 BRACEBRIDGE CT, CAMPBELL, CA 95008-6427
(669) 609-3328
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3682105
CA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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