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Nu Wave Eswt

Early Intervention Provider Agency in Irvine, CA. Organization (NPI-2).

NPI number1760633648
StatusActive
Last updated in NPPESOct 9, 2008

Details

NPI
1760633648
Entity type
Organization (NPI-2)
Legal business name
Nu Wave Eswt
Organization subpart
No
Enumeration date
Oct 9, 2008
Last updated
Oct 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency14350NVYes

Practice location

5 Holland Ste 101
Irvine, CA 92618-2568

Phone 949-588-2190 · Fax 949-588-2199

Mailing address

5 Holland Ste 101
Irvine, CA 92618-2568

Phone 949-588-2190 · Fax 949-588-2199

Authorized official

Jesse J Rhoden
President/Owner
9495882190

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