Individual
DR. BETHANY LAYNE WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3801 MIRANDA AVE, BLD 100 RM D2-108, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
1081 FOSTER CITY BLVD, APT. A, FOSTER CITY, CA 94404-2399
(814) 221-3020
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
10/02/2009
Last updated
07/27/2012
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