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Individual

RENEE HADAD CICHON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
3595 E SPAULDING AVE STE A, PUEBLO, CO 81008-2208
(719) 544-3828
(719) 544-3138
Mailing address
3595 E SPAULDING AVE STE A, PUEBLO, CO 81008-2208
(719) 544-3828
(719) 544-3138

Taxonomy

Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
316
CO
237600000X
Audiologist-Hearing Aid Fitter
Primary
316
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CO40165
CO
Enumeration date
03/12/2007
Last updated
07/21/2022
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