Individual
ELLEN JEAN VERLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 E 52ND ST, 2, DAVENPORT, IA 52807-2786
(563) 355-7712
(563) 359-1325
Mailing address
2215 E 52ND ST, 2, DAVENPORT, IA 52807-2786
(563) 355-7712
(563) 359-1325
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AUD-242 HA-434
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040444
—
IA
Enumeration date
09/28/2006
Last updated
02/26/2013
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