Individual
DR. JENNIFER WIECKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-7566
Mailing address
3853 INGRAHAM ST APT C106, SAN DIEGO, CA 92109-6448
(858) 552-7564
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD.0000706
CO
Other
Enumeration date
12/17/2013
Last updated
03/18/2014
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