Individual provider · Type 1 NPI
Jennifer Petty
Audiology Assistant · Los Angeles, CA
NPI number
1306085196
Active
Practice location
4160 Grand View Blvd
Los Angeles, CA 90066-5214
Fax (310) 397-5827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiology Assistant Primary | 2355A2700X | SPA 953 (CA) |
Audiology Assistant: Definition to come...
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About NPI 1306085196
Jennifer Petty's National Provider Identifier is 1306085196, issued on Feb 18, 2009. The primary taxonomy on file is Audiology Assistant (2355A2700X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 18, 2009.