Individual
AJ SURRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LHAS
Contact information
Practice address
15906 MILL CREEK BLVD STE 102, MILL CREEK, WA 98012-1797
(425) 225-2626
Mailing address
15906 MILL CREEK BLVD STE 102, MILL CREEK, WA 98012-1797
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA61246241
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
07/06/2022
Last updated
07/06/2022
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