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Individual

JACYNDA TORRES MOGANNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
14911 NATIONAL AVE STE 2, LOS GATOS, CA 95032-2632
(408) 356-1999
(408) 356-1988
Mailing address
580 HOWARD AVE, SOMERSET, NJ 08873-1113

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
3272
IL
237700000X
Hearing Instrument Specialist
Primary
8087
CA

Other

Enumeration date
04/06/2016
Last updated
04/13/2026
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