Individual
MR. RICHARD LOY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15711 AURORA AVE N, SHORELINE, WA 98133-5921
(206) 418-1212
Mailing address
15711 AURORA AVE N, SHORELINE, WA 98133-5921
(206) 418-1212
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA60168591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA60168591
WASHINGTON STATE DEPT. OF HEARING -HEARING AID FITTER DISPENSER LICENE
WA
Enumeration date
10/14/2010
Last updated
10/14/2010
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