Organization
REVELATION HEARING, INC
Active
Other names
Revelation Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELYN WOLF BC-HIS (PRESIDENT)
(208) 861-3626
Entity
Organization
Contact information
Practice address
3050 N LAKE HARBOR LN STE 146, BOISE, ID 83703-6354
(208) 343-2921
(208) 854-1163
Mailing address
3050 N LAKE HARBOR LN STE 146, BOISE, ID 83703-6354
(208) 343-2921
(208) 854-1163
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA-1017
ID
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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