| NPI | 1689766990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ALICE AHLQUIST TANNER President /Owner 916-646-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU2675) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-01-22 |