Individual
JENNIFER NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4521 CAMPUS DR # 397, IRVINE, CA 92612-2621
(949) 278-4855
Mailing address
4521 CAMPUS DR # 397, IRVINE, CA 92612-2621
(949) 278-4855
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
10/13/2016
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