Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
EEG |
2472E0500X | 75 | Slide Preparation Facility |
| NPI Number | 1699410191 |
| LBN Legal business name | TEMECULA NEUROFEEDBACK LLC |
| Authorized official | BENNETT WILLIAMS - (ADMINISTRATIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/29/2022 |
| Last updated | 04/29/2022 - About 4 years ago |
| Identifiers | n/a |
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