Individual
ANDREA NICHOLE EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2734
CA
Other
Enumeration date
08/27/2010
Last updated
09/23/2010
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