Individual
MS. SUSAN JEAN DEBAUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
1287 US HIGHWAY 41 BYP S, VENICE, FL 34285-5545
(941) 257-0530
Mailing address
1287 US HIGHWAY 41 BYP S, VENICE, FL 34285-5545
(941) 257-0530
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS4425
FL
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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