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Organization
WEST WAVE NEURODIAGNOSTICS LLC
Active
Organization
WEST WAVE NEURODIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JEWEL MORROW R.EEGT (OWNER, REGISTERED EEG TECHNOLOGIST)
(805) 540-1160
Entity
Organization
Contact information
Practice address
937 E MAIN ST STE 107, SANTA MARIA, CA 93454-5309
(805) 357-5272
(805) 308-7107
Mailing address
937 E MAIN ST STE 107, SANTA MARIA, CA 93454-5309
(805) 357-5272
(805) 308-7107
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EIN
THE EIN FOR THIS COMPANY WAS NOT BY MEDICARE.
CA
Enumeration date
01/22/2021
Last updated
05/05/2022
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