Wave Life, INC
NPI #1093594202 in Portola Valley, California
Provider Information
- NPI Number
- 1093594202
- Entity Type
- Organization
- Organization Name
- Wave Life, INC
- Primary Specialty
- Health & Wellness Coach
- Enumeration Date
- Sep 26, 2023
- Last Updated
- Sep 26, 2023
Practice Location
- Address
- 158 GOYA RD
- City
- Portola Valley
- State
- California
- ZIP Code
- 94028-7307
- Phone
- (917) 601-6840
Authorized Official
- Name
- MRS. MARGARET ANNE MELTON
- Title
- CHIEF EXECUTIVE ASSISTANT
- Phone
- (580) 291-6961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health & Wellness Coach |
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