Individual
KIMBERLY BASTARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
2201 PILLSBURY RD STE 194, CHICO, CA 95926-1373
(530) 343-2350
(530) 343-2505
Mailing address
2201 PILLSBURY RD STE 194, CHICO, CA 95926-1373
(530) 343-2350
(530) 343-2505
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA8656
CA
237700000X
Hearing Instrument Specialist
HA8696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013239037
—
CA
Enumeration date
05/20/2021
Last updated
06/02/2021
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