Healthcare Provider Details

I. General information

NPI: 1346063377
Provider Name (Legal Business Name): ALMA LETICIA TOVAR MARTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 11/07/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HEAR FOR LIFE 4800 STOCKDALE HWY STE 201
BAKERSFIELD CA
93309-9330
US

IV. Provider business mailing address

5100 N 6TH ST STE 120
FRESNO CA
93710-7506
US

V. Phone/Fax

Practice location:
  • Phone: 559-307-6841
  • Fax:
Mailing address:
  • Phone: 559-225-2211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number9054
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: