Organization
MENDOCINO LAKE AUDIOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUBERT R FERNANDE (CFO)
(707) 463-2966
Entity
Organization
Contact information
Practice address
756 S DORA ST, UKIAH, CA 95482-5336
(707) 463-2966
(707) 463-2970
Mailing address
756 S DORA ST, UKIAH, CA 95482-5336
(707) 463-2966
(707) 463-2970
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1445
CA
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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