Individual
MS. ANDREA IRENE ROUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R EEGT
Contact information
Practice address
1100 IRVINE BLVD, #716, TUSTIN, CA 92780
(959) 751-9790
(714) 838-9195
Mailing address
110 IRVINE BLVD #716, TUSTIN, CA 92780
(959) 751-9790
(714) 838-9195
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2975
CA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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