Individual
JOHNNY L. SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-A, FAAA
Contact information
Practice address
1232 CAMELLIA BLVD, SUITE B, LAFAYETTE, LA 70508-6973
(337) 235-5437
(337) 233-9973
Mailing address
5534 CORNISH ST, HOUSTON, TX 77007-4304
(713) 206-4577
(337) 233-9973
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
5862
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5862
LBESPA
LA
Enumeration date
10/13/2008
Last updated
06/06/2013
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