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
Phone: (858) 939-6621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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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