Individual
MARY JUDE SAN MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 BLANKENBAKER PKWY STE A, LOUISVILLE, KY 40243-1881
(502) 434-5176
Mailing address
406 BLANKENBAKER PKWY STE A, LOUISVILLE, KY 40243-1881
(502) 434-5176
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
17001299A
IN
237700000X
Hearing Instrument Specialist
Primary
290047
KY
Other
Enumeration date
10/31/2018
Last updated
07/25/2024
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