Individual
CYNTHIA LYNN CZUCHAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6353 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5482
(817) 731-4327
Mailing address
6353 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5482
(817) 731-4327
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237700000X
HEARING INSTRUMENT SPECIALIST
TX
Enumeration date
04/04/2019
Last updated
04/04/2019
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