Provider Demographics
NPI:1437844149
Name:KEEBLER, PAULA (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:KEEBLER
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:SANTANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NBC-HWC
Mailing Address - Street 1:7 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-3420
Mailing Address - Country:US
Mailing Address - Phone:415-305-0993
Mailing Address - Fax:
Practice Address - Street 1:7 ORCHARD RD
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-3420
Practice Address - Country:US
Practice Address - Phone:415-305-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA-3557519171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach