Individual
MR. JESSE C HIDALGO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10318 W MAPLE ST, WICHITA, KS 67209
(316) 558-2100
(316) 558-5229
Mailing address
200 N BALTIMORE AVE STE 200, DERBY, KS 67037-1616
(316) 737-9344
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1117
KS
237700000X
Hearing Instrument Specialist
741
NE
237700000X
Hearing Instrument Specialist
986
OK
Other
Enumeration date
10/07/2014
Last updated
06/29/2018
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