Individual
SAMANTHA LEE PYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
301 INDUSTRIAL RD, SAN CARLOS, CA 94070-2603
(650) 596-4210
Mailing address
301 INDUSTRIAL RD, SAN CARLOS, CA 94070-2603
(650) 596-4210
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
31005
OR
231H00000X
Audiologist
Primary
AUD3689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500797507
—
OR
Enumeration date
09/02/2021
Last updated
05/09/2022
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