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Organization
NORTHWEST SURGICAL DEVELOPMENT OF FRESNO LLC
Active
Organization
NORTHWEST SURGICAL DEVELOPMENT OF FRESNO LLC
Active
Other names
Athenix Body Sculpting Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HAEFNER (ADMINISTRATION)
(949) 600-9931
Entity
Organization
Contact information
Practice address
7015 N MAPLE AVE, STE 102, FRESNO, CA 93720-8010
(559) 325-7855
Mailing address
65 ENTERPRISE, STE 125, ALISO VIEJO, CA 92656-2706
(949) 600-9931
(949) 600-8029
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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