Individual
SHAWNA VENABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2750 S 5600 W, WEST VALLEY CITY, UT 84120-1249
(801) 417-5734
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
10948225-4101
UT
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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