Individual
MRS. JENNIFER SHACKELFORD MALKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
400 30TH ST, SUITE 101, OAKLAND, CA 94609-3306
(510) 832-4056
(510) 832-8507
Mailing address
400 30TH ST, SUITE 101, OAKLAND, CA 94609-3306
(510) 832-4056
(510) 832-8507
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2449
CA
Other
Enumeration date
05/03/2007
Last updated
01/11/2022
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