Organization
ANIMAS VALLEY AUDIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANDACE KAYLA JEEP AU, D (OWNER)
(970) 375-2369
Entity
Organization
Contact information
Practice address
799 E 3RD ST, SUITE, DURANGO, CO 81301-5793
(970) 375-2369
(970) 375-9054
Mailing address
799 E 3RD ST, SUITE, DURANGO, CO 81301-5793
(970) 375-2369
(970) 375-9054
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
519
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519
STATE LICENSE
CO
Enumeration date
07/17/2008
Last updated
01/23/2018
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