Individual
MICHAEL TAVENIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-A
Contact information
Practice address
275 W CONTINENTAL RD STE 181E, GREEN VALLEY, AZ 85614-2026
(929) 282-1212
Mailing address
275 W CONTINENTAL RD STE 181E, GREEN VALLEY, AZ 85614-2026
(929) 282-1212
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
TAUD5339
AZ
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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