Individual
MONIQUE LANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
HIGHWAY 191 AND HOSPITAL RD, CHINLE, AZ 86503
(928) 674-0736
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
12411705-4101
UT
231H00000X
Audiologist
—
—
Other
Enumeration date
06/18/2021
Last updated
09/30/2021
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