Organization
SOUND HEARING SERVICES
Active
Parent organization
PINE RIVER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINE RIVER, INC.
Authorized official
DR. DENISE L. MARTIN AUD (AUDIOLOGIST)
(707) 446-0742
Entity
Organization
Contact information
Practice address
673B MERCHANT ST, VACAVILLE, CA 95688-6907
(707) 446-0742
(707) 446-5307
Mailing address
673B MERCHANT ST, VACAVILLE, CA 95688-6907
(707) 446-0742
(707) 446-5307
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237600000X
—
CA
Enumeration date
02/10/2009
Last updated
02/10/2009
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