Individual
MRS. SHERRIE J DOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.,M.S.
Contact information
Practice address
123 N CONGRESS AVE STE A, BOYNTON BEACH, FL 33426-5132
(561) 285-4020
(503) 659-5968
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(800) 328-8602
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HB811Y
MEDICARE
—
01
—
HB811Z
MEDICARE
—
Enumeration date
09/03/2009
Last updated
04/11/2019
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