Organization
OMAK AUDIOLOGY CENTER, LLC
Active
Other names
Omak Audiology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIE LYNN MOLLERUP AU.D. (OWNER/AUDIOLOGIST)
(509) 322-5995
Entity
Organization
Contact information
Practice address
506 RIVERSIDE DRIVE, # B, OMAK, WA 98841
(509) 322-5995
Mailing address
208 S MAIN ST # 29, OMAK, WA 98841-9755
(509) 322-5995
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
LD60323941
WA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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