Organization
SUTTER HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMALIA DAVIS (HEARING INSTRUMENT SPECIALIST)
(209) 466-2443
Entity
Organization
Contact information
Practice address
2087 GRAND CANAL BLVD STE 9, STOCKTON, CA 95207-6651
(209) 466-2443
(209) 466-2124
Mailing address
2087 GRAND CANAL BLVD STE 9, STOCKTON, CA 95207-6651
(209) 466-2443
(209) 466-2124
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA3210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144321118
—
CA
Enumeration date
08/11/2011
Last updated
02/02/2024
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