Individual
STRAWBERRY FAWN KOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
23822 VALENCIA BLVD STE 103, VALENCIA, CA 91355-5303
(661) 253-3277
Mailing address
23822 VALENCIA BLVD STE 103, VALENCIA, CA 91355-5303
(661) 253-3277
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA8195
CA
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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