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Individual

MS. MARY VIRGINIA CRITCHLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
720 S EUCLID ST, SUITE 6, ANAHEIM, CA 92802-1530
(714) 776-8757
Mailing address
8932 CLIPPER DR, HUNTINGTON BEACH, CA 92646-3313

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1754
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AU001754
CA
Enumeration date
08/10/2006
Last updated
07/09/2007
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