Individual
MIWAKO HISAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 SILVER SPUR RD, ROLLING HILLS ESTATES, CA 90274-3805
(310) 377-6728
Mailing address
645 CHESTNUT AVE APT 303, LONG BEACH, CA 90802-1275
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3298
CA
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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