Organization
FASTECH MOBILE EEG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA JEAN ESFANDIARFARD R.EEG.T (E.EEG.T OWNER GENERAL PARTNER)
(530) 409-9607
Entity
Organization
Contact information
Practice address
3154 EL TEJON ROAD, CAMERON PARK, CA 95682-9108
(530) 409-9607
Mailing address
3154 EL TEJON ROAD, CAMERON PARK, CA 95682-9108
(530) 409-9607
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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