Individual
SHANELLE VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3188 N HWY 97 STE 118, BEND, OR 97701-7561
(541) 330-5503
(541) 330-5462
Mailing address
3188 N HWY 97 STE 118, BEND, OR 97701-7561
(541) 330-5503
(541) 330-5462
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
HA 00004532
WA
237700000X
Hearing Instrument Specialist
HA 7573
CA
237700000X
Hearing Instrument Specialist
Primary
HAS-P-10127066
OR
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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