Individual
MRS. MARINA ROSE REDDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
439 MARKET ST, COLUSA, CA 95932-2423
(530) 458-3531
(530) 458-3532
Mailing address
439 MARKET ST, COLUSA, CA 95932-2423
(530) 458-3531
(530) 458-3532
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA3846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0038460
—
CA
01
—
ZZZ05867Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
04/09/2007
Last updated
07/09/2007
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