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Mr. Wyatt Blue, MS,LAT,ATC,CSCS
Contractor in Cardiff By The Sea, California
NPI 1346583754

Wyatt Blue is a Contractor based in Cardiff By The Sea, CA. Wyatt Blue practices in Cardiff By The Sea, CA and has the professional credentials of MS,LAT,ATC,CSCS. The NPI Number for Wyatt Blue is 1346583754 and holds a License No. 0506246 (California).

The current practice location address for Wyatt Blue is 1732 Mackinnon Ave, Cardiff By The Sea, CA and can be reached out via phone at 603-812-6913.

Location: 1732 Mackinnon Ave, Cardiff By The Sea, CA, 92007-1605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346583754
Provider Name
Wyatt Blue
Credential
MS,LAT,ATC,CSCS
Provider Entity Type
Individual
Gender
Male
Address
1732 Mackinnon Ave, Cardiff By The Sea, CA, 92007-1605
Phone Number
603-812-6913
Fax Number
Provider Enumeration Date
04/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1732 Mackinnon Ave
City
Cardiff By The Sea
State
California
Zip
92007-1605
Phone Number
603-812-6913
Fax Number
person
Provider Business Mailing Address Details
Address
1732 Mackinnon Ave
City
Cardiff By The Sea
State
California
Zip
92007-1605
Phone Number
603-812-6913
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
0506246 (Nevada)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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