Individual
CANDACE UTRANUSORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
4106 MARATHON BLVD STE A, AUSTIN, TX 78756-3746
(512) 407-9215
(512) 434-0154
Mailing address
4106 MARATHON BLVD STE A, AUSTIN, TX 78756-3746
(512) 407-9215
(512) 434-0154
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81225
TX
Other
Enumeration date
07/06/2020
Last updated
07/11/2024
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