WENDY EDA SHAW DAHL

SAN LUIS OBISPO, CA
NPI1760517023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: CA  PT26044)
Enumeration Date2007-02-23
Last Update Date2007-07-08
Business Address
-- WENDY EDA SHAW DAHL MPT
1248 LAUREL LN
SAN LUIS OBISPO, CA 93401-5860
Phone number: 805-748-2335
Mailing Address
-- WENDY EDA SHAW DAHL MPT
PO BOX 12046
SAN LUIS OBISPO, CA 93406-2046
Phone number: 805-748-2335