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Individual

MR. NICHOLAS BLISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
H.I.S

Contact information

Practice address
321 S MOORPARK RD, THOUSAND OAKS, CA 91361
(805) 418-9850
(805) 777-4747
Mailing address
280 SPRING OAK RD UNIT 2126, CAMARILLO, CA 93010-7518
(860) 256-1151

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
8262
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629261078
2-ORG
IL
Enumeration date
01/08/2015
Last updated
07/25/2018
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