Individual
MR. JEFFERY T BROTHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1545 SAINT MARKS PLZ STE 6, STOCKTON, CA 95207-6411
(209) 477-9181
(209) 477-9192
Mailing address
1545 SAINT MARKS PLZ STE 6, STOCKTON, CA 95207-6411
(209) 477-9181
(209) 477-9192
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA3182
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA3182
HEARING AID DISPENSERS BOARD
CA
Enumeration date
01/04/2007
Last updated
08/03/2022
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