Individual
WENDY PURVIANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 SEAVIEW AVE, PISMO BEACH, CA 93449-2042
(559) 281-1989
Mailing address
PO BOX 3457, SHELL BEACH, CA 93448-3457
(559) 281-1989
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
306313557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
CA
Enumeration date
05/07/2022
Last updated
05/07/2022
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