Body Boxing Bootcamp

NPI 1063840361 - Health Educator - 174H00000X

NPI Details
NPI 1063840361
Enumeration Date 10/23/2013
Last Updated 10/23/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KEVIN L KEVIN
Position MANAGING DIRECTOR
Phone (310) 435-3820
Fax
Practice Location
142 S WETHERLY DR APT 302
LOS ANGELES CA, 90048-2928, US
Phone (310) 435-3820
Fax
Business Location
142 S WETHERLY DR APT 302
LOS ANGELES CA, 90048-2928, US
Phone (310) 435-3820
Fax
Toxanomy
Taxonomy Code 174H00000X
License State California
License Number 0002708997-0001-2
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According to our database, Body Boxing Bootcamp NPI is 1063840361, taxonomy code is 174H00000X and license number is 0002708997-0001-2, license state is located at California. Body Boxing Bootcamp physically located at 142 S Wetherly Dr Apt 302, Los Angeles CA, 90048-2928. NPI Number 1033115704 has the healthcare provider type.

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1063840361 NPI number is provided on an as is basis without warranty of any kind. 1063840361 is maintained by the National Plan & Provider Enumeration System. The contents of Body Boxing Bootcamp are for informational purposes only.