Individual
DAVID L PELLANDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAD
Contact information
Practice address
103 CYPRESS ST, FORT BRAGG, CA 95437-5401
(707) 962-9230
(707) 523-0260
Mailing address
103 CYPRESS ST, FORT BRAGG, CA 95437-5401
(707) 962-9230
(707) 962-9230
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA2892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA2892
HA DISPENSER LICENSE
CA
Enumeration date
12/12/2011
Last updated
09/14/2020
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