Organization
SANDIA HEARING SANTA FE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L LONGTAIN (OWNER / MANAGING MEMBER)
(503) 799-2852
Entity
Organization
Contact information
Practice address
3454 ZAFARANO DR STE B, SANTA FE, NM 87507-2667
(505) 988-1984
(503) 474-3078
Mailing address
3454 ZAFARANO DR STE B, SANTA FE, NM 87507-2667
(505) 988-1984
(503) 474-3078
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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