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BYRON BLUE

Electroneurodiagnostic >> Specialist/Technologist, Other >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1417332339

Individual Registrant:
 BYRON  BLUE 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
560 W MAIN ST STE C840 ALHAMBRA, CA 91801-3374 US
Tel: 213-321-4054  Fax: --

Contact information for business:
560 W MAIN ST STE C840 ALHAMBRA, CA 91801-3374 US
Tel: 213-321-4054  Fax: --

Registration Information:
NPI: 1417332339
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y246ZE0600XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other
Electroneurodiagnostic

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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