Organization
SAN JUAN HEARING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ANDREW JONES M.A., CCC-A (AUDIOLOGIST)
(505) 325-7474
Entity
Organization
Contact information
Practice address
2355 E 30TH ST, FARMINGTON, NM 87401-8900
(505) 325-7474
Mailing address
2355 E 30TH ST, FARMINGTON, NM 87401-8900
(505) 325-7474
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
754
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97253
—
NM
Enumeration date
12/06/2007
Last updated
12/06/2007
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