Individual
JULIE DEWITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4902 IRVINE CENTER DR, #101, IRVINE, CA 92604-3305
(949) 584-1014
(866) 594-4485
Mailing address
27758 SANTA MARGARITA PKWY, #419, MISSION VIEJO, CA 92691-6709
(949) 584-1013
(866) 594-4485
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
1142
CA
246Z00000X
Other Specialist/Technologist
Primary
15262
CA
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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