Individual
MS. DIANE DOVE NENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
14700 FARMINGTON RD, SUITE 102, LIVONIA, MI 48154-5430
(734) 525-3900
(734) 525-4020
Mailing address
PO BOX 406153, ATLANTA, GA 30384-1876
(734) 525-3900
(734) 525-4020
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000360
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124215116
—
MI
Enumeration date
10/03/2007
Last updated
01/13/2009
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