Organization
GABGAINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIINA M SCHETSELAAR M.ED., CCC-SLP (OWNER/SLP)
(801) 513-3185
Entity
Organization
Contact information
Practice address
3867 N EZIE AVE, FRESNO, CA 93727-7925
(801) 513-3185
Mailing address
3867 N EZIE AVE, FRESNO, CA 93727-7925
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
22880
CA
261QH0700X
Hearing and Speech Clinic/Center
Primary
5922510-4102
UT
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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