Basic Information
| Provider Information | |||||||||
| NPI: | 1518250018 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAY | ||||||||
| FirstName: | JAIME | ||||||||
| MiddleName: | ERIN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4677 VALLEY EAST BLVD | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | ARCATA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 955210000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7078229122 | ||||||||
| FaxNumber: | 7078221969 | ||||||||
| Practice Location | |||||||||
| Address1: | 4677 VALLEY EAST BLVD | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | ARCATA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 955210000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7078229122 | ||||||||
| FaxNumber: | 7078221969 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2011 | ||||||||
| LastUpdateDate: | 05/17/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | HT 8733 | CA | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.