Individual
KENNETH MICHAEL MASHRAKY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2566 HAYMAKER RD, SUITE 214, MONROEVILLE, PA 15146-3517
(412) 372-6360
Mailing address
439 TAHOE DR, PITTSBURGH, PA 15239-2817
(412) 613-8686
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
A03169
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A03169
APPRENTICE FITTER
PA
Enumeration date
03/01/2017
Last updated
03/01/2017
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