Individual
MISS COURTNEY ANNE EARGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1905 MAIN ST, HUNTINGTON BEACH, CA 92648-2705
(760) 553-3116
Mailing address
1905 MAIN ST, HUNTINGTON BEACH, CA 92648-2705
(760) 553-3116
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
2000023177
CA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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