Individual
MRS. JONI LYNNE TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. AUDIOLOGY
Contact information
Practice address
36111 PLYMOUTH RD, LIVONIA, MI 48150-1400
(734) 838-9990
(734) 838-9991
Mailing address
33047 MYRNA CT, LIVONIA, MI 48154-2915
(734) 522-6972
(734) 838-9991
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4391369
—
MI
Enumeration date
08/27/2006
Last updated
07/09/2007
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