Individual
DR. TARA-ANN JOY WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5855 SILVER CREEK VALLEY RD, SAN JOSE, CA 95138-1059
(408) 574-9219
Mailing address
808 W SAN CARLOS ST UNIT 491, SAN JOSE, CA 95126-4360
(407) 721-2064
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
09/01/2023
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