Individual
MISS JULIE ANN FERNENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM, REEGT
Contact information
Practice address
20331 IRVINE AVE STE E2, NEWPORT BEACH, CA 92660-0223
(614) 306-3746
Mailing address
20331 IRVINE AVE STE E2, NEWPORT BEACH, CA 92660-0223
(614) 306-3746
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
5341
CA
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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