Individual
MR. JACOB NATHANIEL BROUHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
681 MAIN STREET, SUITE 112, PLACERVILLE, CA 95667
(530) 622-4880
(530) 622-2360
Mailing address
681 MAIN STREET, SUITE 112, PLACERVILLE, CA 95667
(530) 622-4880
(530) 622-2360
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
HA8392
CO
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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