Individual
RAVEN SANDRA SOBOTKA ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D, CCC-A, FAAA
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
030942
OR
Other
Enumeration date
08/18/2006
Last updated
06/30/2021
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