Individual
MRS. JENNIFER M KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
2680 S VAL VISTA DR, BLDG 13, UNIT 175, GILBERT, AZ 85295-2152
(480) 784-0110
(480) 784-0220
Mailing address
2680 S VAL VISTA DR, BLDG 13, UNIT 175, GILBERT, AZ 85295-2152
(480) 784-0110
(480) 784-0220
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA4551
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073820106
MEDICARE NPI
—
Enumeration date
09/10/2010
Last updated
03/01/2011
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