Individual
DR. SHADE AVERY KIRJAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3565 TORRANCE BLVD STE A, TORRANCE, CA 90503-4847
(424) 257-8285
Mailing address
3565 TORRANCE BLVD STE A, TORRANCE, CA 90503-4847
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU3610
CA
Other
Enumeration date
09/22/2020
Last updated
10/06/2023
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