Individual
MIKA MOORE
Active
Individual
MIKA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1873
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU1873
STATE LICENSE
CA
01
—
HA3913
HEARING AID DISPENSER
CA
Enumeration date
04/06/2007
Last updated
09/23/2013
Update your record
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