Individual
TANNER ROBIN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD61301322
WA
Other
Enumeration date
05/27/2021
Last updated
05/10/2022
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