Individual
DR. JAMIE EKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A.02523
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A.02523
OHIO AUDIOLOGY LICENSE
OH
Enumeration date
06/19/2024
Last updated
06/19/2024
Update your record
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