Individual
JAYME FELLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1701 4TH ST, SUITE 120, SANTA ROSA, CA 95404-3658
(707) 523-7025
Mailing address
1701 4TH ST, SUITE 120, SANTA ROSA, CA 95404-3658
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
CA
Other
Enumeration date
08/07/2012
Last updated
08/24/2012
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