Individual
SRIVATHSAN NALLUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HEARUSA, 16940 SLOVER AVE, SUITE A, FONTANA, CA 92337-7566
(909) 854-8569
Mailing address
9346 MEADOW ST, RANCHO CUCAMONGA, CA 91730-5652
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
10463
CA
237600000X
Audiologist-Hearing Aid Fitter
Primary
HT 9508
CA
Other
Enumeration date
08/28/2016
Last updated
09/01/2016
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