Individual
BRIDGET O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 VICTORIA ST STE 1H, COSTA MESA, CA 92627-1906
(949) 629-2862
Mailing address
275 VICTORIA ST STE 1H, COSTA MESA, CA 92627-1906
(949) 629-2862
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
VN231044
CA
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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