Healthcare Provider Details

I. General information

NPI: 1285131433
Provider Name (Legal Business Name): MISS SYDNEY JOANNA SZILLINSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 04/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 J ST STE 105
SACRAMENTO CA
95816-4760
US

IV. Provider business mailing address

2231 J ST STE 105
SACRAMENTO CA
95816-4760
US

V. Phone/Fax

Practice location:
  • Phone: 916-448-8108
  • Fax:
Mailing address:
  • Phone: 916-448-8108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA8304
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: