Individual
AUDREY LEE WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(616) 260-9364
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(616) 260-9364
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
323074497482
MI
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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