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Organization

QUALITY NEURO SUPPLY LLC

Active
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Organization

QUALITY NEURO SUPPLY LLC

Active
Other names
QUALITY NEUROMONITORING
Organization subpart
No

Provider details

NPI number
Authorized official
JULIO CANTERO M.D. (MANAGING PARTNER)
(818) 600-1572
Entity
Organization

Contact information

Practice address
2201 W BROADWAY, SUITE B201, ANAHEIM, CA 92804-2374
(818) 600-1572
(877) 625-7254
Mailing address
PO BOX 2864, ANAHEIM, CA 92814-0864
(818) 600-1572
(877) 625-7254

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
ME94218
FL
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
2124
TX

Other

Enumeration date
11/27/2012
Last updated
11/27/2012
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