Organization
SOUTH SOUND AUDIOLOYG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE K VANAUSDAL M.S. CCC-A (MANAGING MEMBER)
(360) 789-0097
Entity
Organization
Contact information
Practice address
4444 LACEY BLVD SE, LACEY, WA 98503-5730
(360) 528-2022
Mailing address
4444 LACEY BLVD SE, A, LACEY, WA 98503-5730
(360) 528-2022
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001726
WA
Other
Enumeration date
09/21/2006
Last updated
11/09/2017
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