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Organization

COMPREHENSIVE NEURO MONITORING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA FANELLI (CHIEF CLINICAL OFFICER)
(480) 755-1921
Entity
Organization

Contact information

Practice address
45211 HELM ST, PLYMOUTH, MI 48170-6023
(734) 525-9712
(734) 245-4092
Mailing address
4570 AVERY LN SE STE C-10, LACEY, WA 98503-5608
(480) 755-1921
(360) 925-3470

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
03/25/2014
Last updated
07/26/2023
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