Organization
BRAIN RECONNECTIOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELA KAMMOUN MNRI CORE SPECIALIST (GENERAL OFFICER)
(949) 307-6914
Entity
Organization
Contact information
Practice address
1929 MAIN ST STE 103, IRVINE, CA 92614-6524
(949) 307-6914
Mailing address
14271 JEFFREY RD, IRVINE, CA 92620-3405
(909) 307-6914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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