Organization
BRAIN@WORK LLC
Active
Other names
Brain@Work Neurofeedback
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDA ROETS RN (CLINICAL DIRECTOR)
(530) 671-9900
Entity
Organization
Contact information
Practice address
1095 STAFFORD WAY, SUITE D, YUBA CITY, CA 95991-3333
(530) 671-9900
Mailing address
1095 STAFFORD WAY, SUITE D, YUBA CITY, CA 95991-3333
(530) 671-9900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
626953
CA
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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