| NPI | 1629285325 |
|---|---|
| Other Name | TINA MAY SOCOTCH JESSUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00064700) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: PA AT005905) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00099900) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |