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NPI Code Detail

MEDICARE: ELIZABETH RUTH QUINLEY AU.D.

MEDICARE: ELIZABETH RUTH QUINLEY AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid Fitter

General Provider Information

NPI Number : 1801464490
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH RUTH QUINLEY AU.D.
Provider Business Mailing Address
First Line : 8282 CALVINE RD APT 1070
Second Line :
City : SACRAMENTO
State : CA
Zip : 95828-9318
Country : US
Telephone Number : 559-967-6617
Fax Number :
Provider Business Practice Location Address
First Line : 7300 WYNDHAM DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-4913
Country : US
Telephone Number : 916-525-6280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 12/30/2021

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