WYATT BLUE

CARDIFF BY THE SEA, CA
NPI1346583754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: NV  0506246)
Enumeration Date2013-04-03
Last Update Date2014-01-16
Business Address
MR. WYATT BLUE MS, LAT, ATC, CSCS
1732 MACKINNON AVE
CARDIFF BY THE SEA, CA 92007-1605
Phone number: 603-812-6913
Mailing Address
MR. WYATT BLUE MS, LAT, ATC, CSCS
1732 MACKINNON AVE
CARDIFF BY THE SEA, CA 92007-1605
Phone number: 603-812-6913