Individual
JASPER OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
3555 WHIPPLE RD, UNION CITY, CA 94587-1507
(510) 675-4010
Mailing address
3555 WHIPPLE RD, UNION CITY, CA 94587-1507
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3623
CA
Other
Enumeration date
10/29/2021
Last updated
06/01/2022
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