Individual
KAYLA WIEDEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
517 W COMMERCE ST, BROWNWOOD, TX 76801-1705
(325) 203-4760
Mailing address
5303 50TH ST, LUBBOCK, TX 79414-1817
(806) 799-8950
(806) 785-4327
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
81008
TX
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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