| NPI | 1679878979 |
|---|---|
| Former Name | JANICE RIVERA TANEDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY2286) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 939) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2019-07-22 |