Individual
GLEN ERIC FAIRFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 N 9TH ST, GROVER BEACH, CA 93433-2122
(805) 481-1523
(805) 481-1269
Mailing address
FILE #55745, LOS ANGELES, CA 90074-5745
(561) 478-8770
(561) 688-8877
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2915
CA
Other
Enumeration date
05/28/2009
Last updated
08/06/2009
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