Individual
MRS. SANDRA AKEMI NEALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
735 BALBOA AVE, LAGUNA BEACH, CA 92651-4105
(949) 290-0435
Mailing address
735 BALBOA AVE, LAGUNA BEACH, CA 92651-4105
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
163WR0006X
CA
261QA1903X
Ambulatory Surgical Clinic/Center
261QA1903X
CA
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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