Individual
ANNETTE MCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1401 AVOCADO AVE, STE 703, NEWPORT BEACH, CA 92660-7720
(949) 760-0190
(949) 760-0439
Mailing address
1401 AVOCADO AVE, STE 703, NEWPORT BEACH, CA 92660-7720
(949) 760-0190
(949) 760-0439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
95096646
CA
207NS0135X
Procedural Dermatology Physician
95096646
CA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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