Organization
COASTAL HEARING SOLUTIONS, INC.
Active
Other names
DBA MIRACLE EAR CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENNY LEE FAIRFIELD (SECRETARY)
(805) 544-0592
Entity
Organization
Contact information
Practice address
882 BOYSEN AVE, SAN LUIS OBISPO, CA 93405-1311
(805) 544-0592
(805) 544-4642
Mailing address
882 BOYSEN AVE, SAN LUIS OBISPO, CA 93405-1311
(805) 544-0592
(805) 544-4642
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
H42915
CA
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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