Individual
DAMARA VIVIAN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3892
(714) 639-4991
Mailing address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3892
(714) 639-4991
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
14623
CA
231H00000X
Audiologist
Primary
3609
CA
Other
Enumeration date
05/28/2021
Last updated
08/16/2021
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