Organization
THE AUDIOLOGY OFFICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN DEPAOLO WIETSMA AU.D. (OWNER, AUDIOLOGIST)
(804) 435-0758
Entity
Organization
Contact information
Practice address
45 N MAIN ST, KILMARNOCK, VA 22482-1911
(804) 435-0758
(804) 435-7226
Mailing address
PO BOX 1911, 45 N MAIN ST, KILMARNOCK, VA 22482-1911
(804) 435-0758
(804) 435-7226
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2101 001400
VA
Other
Enumeration date
05/07/2007
Last updated
04/14/2008
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