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Organization
TEMECULA NEUROFEEDBACK LLC
Active
Organization
TEMECULA NEUROFEEDBACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNETT WILLIAMS R.T.(CT)(R)(ARRT) (ADMINISTRATIVE DIRECTOR)
(951) 663-5206
Entity
Organization
Contact information
Practice address
43950 MARGARITA RD STE B, TEMECULA, CA 92592-2732
(951) 663-5206
Mailing address
43950 MARGARITA RD STE B, TEMECULA, CA 92592-2732
(951) 663-5206
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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