Organization
NU WAVE ESWT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE J RHODEN (PRESIDENT/OWNER)
(949) 588-2190
Entity
Organization
Contact information
Practice address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
14350
NV
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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