Individual
MRS. NICOLE EVANS BLANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
901 NEVIN AVE, HNS DEPARTMENT, RICHMOND, CA 94801-3143
(510) 307-2364
Mailing address
2923 WEBSTER ST STE 201, OAKLAND, CA 94609-3418
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2425
CA
Other
Enumeration date
01/03/2007
Last updated
01/03/2022
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