JENNIFER VANDERVATE

LAFAYETTE, IN
NPI1083300917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy237700000X Hearing Instrument Specialist
(Licence: IN  17001595A)
Enumeration Date2023-04-13
Last Update Date2023-04-13
Business Address
JENNIFER VANDERVATE HIS
2825 ELMWOOD AVE
LAFAYETTE, IN 47904-1701
Phone number: 765-447-0131
Mailing Address
JENNIFER VANDERVATE HIS
1948 TANGLEWOOD DR
LAFAYETTE, IN 47905-4183
Phone number: 765-586-0817