Individual
MRS. MARSHA LEE SANO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
1146 FRANCIS ST, LONGMONT, CO 80501-3704
(303) 651-1178
(303) 651-0488
Mailing address
1146 FRANCIS ST, LONGMONT, CO 80501-3704
(303) 651-1178
(303) 651-0488
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
429
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-00107
EVERCARE PROVIDER NUMBER
CO
Enumeration date
11/02/2005
Last updated
07/08/2007
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