Individual
BERNARD BADURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-A
Contact information
Practice address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 627-6731
(253) 942-2279
Mailing address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 627-6731
(253) 942-2279
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00002604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208421
STATE L&I
WA
01
—
0208423
STATE L&I
WA
01
—
0226989
STATE L&I
WA
05
—
8452740
—
WA
01
—
8941429
STATE CRIME VICTIMS
WA
Enumeration date
05/05/2006
Last updated
11/24/2020
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