Individual
LAURA S BROCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29289 FIRST GRN, LAKE ELSINORE, CA 92530-4376
(951) 582-4609
Mailing address
29289 FIRST GRN, LAKE ELSINORE, CA 92530-4376
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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