Individual
MARANDA LAFAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1050 N CHERRY ST, TULARE, CA 93274-2251
(559) 684-8703
Mailing address
2260 E CHESTNUT CT, VISALIA, CA 93292-1797
(906) 399-3424
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001719
IL
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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