Individual
KIMBERLY ANN GUSTOVICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
351 E TEMPLE ST, LOS ANGELES, CA 90012-3328
(213) 253-2677
Mailing address
4723 CASTLE RD, LA CANADA, CA 91011-1444
(213) 253-2677
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1249
CA
Other
Enumeration date
05/13/2006
Last updated
07/08/2007
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