Individual
SHANA THOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 WAVECREST AVE, VENICE, CA 90291-3369
(310) 595-6857
Mailing address
13157 MINDANAO WAY, PO BOX 795, MARINA DEL REY, CA 90292-6307
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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