Individual
MRS. JANELL D'ANNE REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
12791 NEWPORT AVE, SUITE 101, TUSTIN, CA 92780-2751
(714) 731-6549
(714) 730-5372
Mailing address
12791 NEWPORT AVE, SUITE 101, TUSTIN, CA 92780-2751
(714) 731-6549
(714) 730-5372
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0005661
—
CA
Enumeration date
06/23/2006
Last updated
07/10/2014
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