Individual
CHARLENE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNT
Contact information
Practice address
32430 PACIFIC COAST HWY, MALIBU, CA 90265-2531
(866) 530-3729
Mailing address
26928 PACIFIC COAST HWY, SPACE B, MALIBU, CA 90265-4359
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
5421 CNT
NV
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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