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Organization
PINE RIVER INC
Active
Organization
PINE RIVER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MARTIN-SAHIM (OWNER)
(707) 642-8862
Entity
Organization
Contact information
Practice address
1620 PENNSYLVANIA AVE STE D, FAIRFIELD, CA 94533-3509
(707) 426-4327
Mailing address
1620 PENNSYLVANIA AVE STE D, FAIRFIELD, CA 94533-3509
(707) 426-4327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Enumeration date
03/10/2016
Last updated
02/13/2019
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