| NPI | 1679766398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALVIN JARDINE Director, Audiology Clinic 209-946-7490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU2426) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA7228) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-01-24 |