Individual
MARY JANE GARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
4045 LONE TREE WAY, SUITE D, ANTIOCH, CA 94531-6200
(925) 778-3298
(925) 778-0937
Mailing address
4045 LONE TREE WAY, STE D, ANTIOCH, CA 94531-6206
(925) 778-3298
(925) 778-0937
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0004730
—
CA
Enumeration date
07/20/2006
Last updated
02/26/2020
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