Organization
PINE RIVER, INC.
Active
Organization
PINE RIVER, INC.
Active
Other names
Hearing Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE L MARTIN-SAHIM AU.D. (AUDIOLOGIST)
(707) 642-8862
Entity
Organization
Contact information
Practice address
1287 OLIVER RD, FAIRFIELD, CA 94534-3468
(707) 426-4327
(707) 426-5190
Mailing address
1287 OLIVER RD, FAIRFIELD, CA 94534-3468
(707) 426-4327
(707) 426-5190
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0010890
—
CA
Enumeration date
02/01/2012
Last updated
03/05/2012
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