Individual
MRS. THEDA WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
3301 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1852
(505) 889-9100
(505) 888-0363
Mailing address
8800 SE SUNNYSIDE RD, 300-N, CLACKAMAS, OR 97015-5738
(503) 659-5115
(866) 448-6830
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
486
NM
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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