Individual
KAITLIN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 PLEASANT VALLEY WAY STE 4, WEST ORANGE, NJ 07052-1426
(973) 243-8860
Mailing address
1001 PLEASANT VALLEY WAY STE 4, WEST ORANGE, NJ 07052-1426
(973) 243-8860
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
25MG00147900
NJ
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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