Individual
JUSTIN A MORTEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
H.A.S.
Contact information
Practice address
8006 IVYWOOD LN, SYLVANIA, OH 43560
(419) 376-9860
Mailing address
8006 IVYWOOD LN, SYLVANIA, OH 43560-4212
(419) 376-9860
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
03000
OH
Other
Enumeration date
06/01/2012
Last updated
07/30/2018
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