Individual
OLIVIA VINUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2074 LAKE TAHOE BLVD STE 9, SOUTH LAKE TAHOE, CA 96150-6417
(530) 537-3344
Mailing address
964 SHAKORI DR, SOUTH LAKE TAHOE, CA 96150-4163
(928) 287-0977
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU4045
CA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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