Individual
MR. TERRY MONGRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
612 VALLEY MALL PKWY, EAST WENATCHEE, WA 98802-4838
(509) 888-3277
(509) 888-4327
Mailing address
612 VALLEY MALL PKWY, EAST WENATCHEE, WA 98802-4838
(509) 888-3277
(509) 888-4327
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
HA61034979
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA61034979
HEARING AID SPECIALIST LICENSE
WA
Enumeration date
10/21/2020
Last updated
10/21/2020
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