Individual
DR. JUNE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
696 E SANTA CLARA ST STE 110, SAN JOSE, CA 95112-1911
(408) 288-6604
Mailing address
684 COLLEEN DR, SAN JOSE, CA 95123-5512
(408) 578-7423
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GAU000660
—
CA
Enumeration date
09/30/2006
Last updated
07/08/2007
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