Individual
LAURIE VANDUIVENBODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-A
Contact information
Practice address
19800 HAWTHORNE BIVD, UNIT226, TORRANCE, CA 90503
(310) 371-7984
(310) 371-0965
Mailing address
FILE #55745, LOS ANGELES, CA 90074-5745
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1133
CA
Other
Enumeration date
09/05/2006
Last updated
01/23/2009
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