Individual
MIKAELA DOCENA LISING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
1555 ORANGE AVE UNIT 702, REDLANDS, CA 92373-1455
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3457
CA
Other
Enumeration date
10/24/2019
Last updated
05/27/2025
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