Individual
MRS. GLYNIS G TAMBORNINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
756 S DORA ST, UKIAH, CA 95482-5336
(707) 463-2966
(707) 463-2970
Mailing address
756 S DORA ST, UKIAH, CA 95482-5336
(707) 463-2966
(707) 463-2970
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1445
CA
237600000X
Audiologist-Hearing Aid Fitter
HA2483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ57005Z
BLUE CROSS DIAGNOSTICS
—
01
—
ZZZ57006Z
BLUE CROSS DME
—
Enumeration date
01/08/2007
Last updated
07/08/2007
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