Individual
MR. GREGG LYNN HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACA, BC-HIS
Contact information
Practice address
2435 PROFESSIONAL DR, SUITE A, SANTA ROSA, CA 95403-3017
(707) 575-3590
(707) 575-5329
Mailing address
2435 PROFESSIONAL DR, SUITE A, SANTA ROSA, CA 95403-3017
(707) 575-3590
(707) 575-5329
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA1509
CA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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