Organization
OC BREAST WELLNESS LLC
Active
Other names
OC Breast Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE SALMON (DIRECTOR)
(714) 717-5334
Entity
Organization
Contact information
Practice address
11770 WARNER AVE STE 112, FOUNTAIN VALLEY, CA 92708-2659
(714) 363-5595
Mailing address
11770 WARNER AVE STE 112, FOUNTAIN VALLEY, CA 92708-2659
(714) 363-5595
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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