Individual
CHERYL S TANITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.UD.,CCC-A
Contact information
Practice address
446 OLD NEWPORT BLVD STE 100, UNITED STATES, NEWPORT BEACH, CA 92663-4246
(949) 631-4327
(949) 631-2030
Mailing address
446 OLD NEWPORT BOULEVARD SUITE 100, NEWPORT BEACH, CA 92663
(949) 631-4327
(949) 631-2030
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2313
CA
Other
Enumeration date
09/22/2008
Last updated
03/20/2017
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