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Individual

JULIE MARTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCCA

Contact information

Practice address
511 3RD ST W, SONOMA, CA 95476
(707) 938-3610
(707) 938-3611
Mailing address
511 3RD ST W, SONOMA, CA 95476
(707) 938-3610
(707) 938-3611

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU455
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AU0004550
CA
Enumeration date
08/14/2006
Last updated
07/08/2007
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