Individual
JENNIFER LYNN MIDDLEBROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HID
Contact information
Practice address
4625 BOAT CLUB RD STE 257, FORT WORTH, TX 76135-7023
(817) 346-6464
(817) 238-0054
Mailing address
4625 BOAT CLUB RD STE 257, FORT WORTH, TX 76135-7023
(817) 346-6464
(817) 238-0054
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
80885
TX
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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