Individual
MR. GERALD EDWARD VIETOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 14TH ST STE N, MODESTO, CA 95354-1029
(209) 501-5648
(209) 346-7117
Mailing address
802 14TH ST STE N, MODESTO, CA 95354-1029
(209) 501-5648
(209) 346-7117
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA3131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA3131
STATE OF CALIFORNIA
CA
Enumeration date
06/12/2018
Last updated
09/18/2025
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