Individual
DR. ALYSE MICHELE GULACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
795 WILLOW RD, MENLO PARK, CA 94025-2539
(650) 614-9997
Mailing address
610 HAMILTON AVE, MENLO PARK, CA 94025-1304
(559) 696-2159
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD.0001036
CO
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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