Individual
JACQUELYN BRUSCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS-HIS
Contact information
Practice address
8130 N CHURCH RD, KANSAS CITY, MO 64158-1101
(816) 439-4018
Mailing address
5806 N DELTA AVE, KANSAS CITY, MO 64151-3086
(816) 808-5598
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2021005794
MO
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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