Organization
FABULOUS HEARING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE KELLY MEMBER (OWNER)
(702) 807-7931
Entity
Organization
Contact information
Practice address
8881 FLETCHER PKWY, 103, LA MESA, CA 91942-3134
(619) 460-0180
(619) 460-0949
Mailing address
PO BOX 224, LOGANDALE, NV 89021-0224
(702) 807-7931
(702) 398-3757
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
HA2450
CA
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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