Wallace, Gina M

Wallace, Gina M is an sole proprietor health care provider with primary practice located at 2929 Health Center Dr , San Diego CA 92123-2762. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Wallace, Gina M can be contacted via phone (858) 939-6621.

Contact Information

Primary practice address
2929 Health Center Dr San Diego CA 92123-2762
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 2218 California

Profile Details

NPI number 1093922056
LBN Legal business name Wallace, Gina M
Credentials Certified Audiologist (AU)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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