Individual
DOROTHY PEREZ KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.U.
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 490-1222
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 498-2682
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU2256
PROFESSIONAL LICENSE
CA
Enumeration date
02/11/2009
Last updated
05/27/2020
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