Individual
GRANT HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A.02016
OH
Other
Enumeration date
10/21/2016
Last updated
10/26/2016
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