Individual
DR. JERILYN NICOLE DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
7759 HERSCHEL AVE, STE B, LA JOLLA, CA 92037-4478
(619) 534-4865
Mailing address
7759 HERSCHEL AVE, STE B, LA JOLLA, CA 92037-4478
(619) 519-3568
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
574
CO
231H00000X
Audiologist
AU 2690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12147264
CAQH
CO
Enumeration date
09/01/2009
Last updated
10/21/2019
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