Individual
LAURIE B MENYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HA
Contact information
Practice address
5800 SANTA ROSA RD STE 123, CAMARILLO, CA 93012-7060
(805) 482-9821
Mailing address
5915 MISTY CT, AGOURA HILLS, CA 91301-2132
(818) 355-1556
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
8316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8316
HEARING AID DISPENSER
CA
Enumeration date
06/21/2018
Last updated
06/21/2018
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