Individual
DOUGLAS BRYAN WESSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACA
Contact information
Practice address
1079 EUCALYPTUS ST, SUITE B, MANTECA, CA 95337-4369
(209) 823-2107
(209) 823-0563
Mailing address
1079 EUCALYPTUS ST, SUITE B, MANTECA, CA 95337-4369
(209) 823-2107
(209) 823-0563
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA1161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0011610
—
CA
Enumeration date
07/06/2006
Last updated
07/09/2007
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