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Individual

GINGER S STICKNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, CCC-A

Contact information

Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8068
(714) 456-2979
Mailing address
PO BOX 513700, LOS ANGELES, CA 90051-3700
(714) 456-8068
(714) 456-2979

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3874
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3874
HEARING AID DISPENSER
CA
Enumeration date
04/07/2008
Last updated
04/07/2008
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