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Organization

TAHOE FAMILY HEARING CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENELLE SANDY AUD (OWNER/AUDIOLOGIST)
(530) 318-4010
Entity
Organization

Contact information

Practice address
2074 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-6407
(530) 318-4010
Mailing address
1285 APACHE AVE # 306, SOUTH LAKE TAHOE, CA 96155-7672
(530) 318-4010

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary

Other

Enumeration date
03/22/2022
Last updated
10/26/2022
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