LISA EDENS-TAN

FORT BRAGG, CA
NPI1316434442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175F00000X Naturopath
(Licence: CA  ND988)
Enumeration Date2018-04-14
Last Update Date2020-02-04
Business Address
LISA EDENS-TAN ND
647 N MAIN ST
FORT BRAGG, CA 95437-3219
Phone number: 925-209-5966
Mailing Address
LISA EDENS-TAN ND
623 S SANDERSON WAY
FORT BRAGG, CA 95437-4537
Phone number: 925-209-5966