Individual
SHANA'E C SOBIERAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
100 NAVARRE PL STE 4460, SOUTH BEND, IN 46601-1168
(574) 235-1010
(574) 232-2064
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002625A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003999
—
IN
Enumeration date
06/21/2017
Last updated
04/05/2021
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