M Jeanne Evenson AU.D.

NPI 1659543650 - Audiologist - 231H00000X

NPI Details
NPI 1659543650
Gender Female
Enumeration Date 03/31/2008
Last Updated 03/31/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2800 TAMARACK AVENUE
SUITE 102
SOUTH WINDSOR CT, 06074, US
Phone (860) 648-2802
Fax (860) 648-0870
Business Location
2800 TAMARACK AVENUE
SUITE 102
SOUTH WINDSOR CT, 06074, US
Phone (860) 648-2802
Fax (860) 648-0870
Toxanomy
Taxonomy Code 231H00000X
License State Connecticut
License Number 000463
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According to our database, Mrs. M Jeanne Evenson AU.D. NPI is 1659543650, taxonomy code is 231H00000X and license number is 000463, license state is located at Connecticut. M Jeanne Evenson AU.D. physically located at 2800 Tamarack Avenue, South Windsor CT, 06074. NPI Number M Jeanne Evenson AU.D. has the Individual type.

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1659543650 NPI number is provided on an as is basis without warranty of any kind. 1659543650 is maintained by the National Plan & Provider Enumeration System. The contents of M Jeanne Evenson AU.D. are for informational purposes only.