Individual
AUTUMN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 W CENTRAL AVE STE 134, TOLEDO, OH 43606-1403
(419) 534-3111
Mailing address
3450 W CENTRAL AVE STE 134, TOLEDO, OH 43606-1403
(419) 534-3111
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A.02143
OH
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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