Individual
MS. ALICE ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEARING AID DISPENSE
Contact information
Practice address
43797 15TH ST W, LANCASTER, CA 93534-4755
(661) 948-4776
(661) 948-8163
Mailing address
43797 15TH ST W, LANCASTER, CA 93534-4755
(661) 948-4776
(661) 948-8163
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA2445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA0024451
MEDICAL STATE OF CALIFORNIA
CA
01
—
HA2445
CALIFORNIA LICENSED HEARING AID DISPENSER
CA
Enumeration date
11/28/2006
Last updated
06/29/2011
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