Individual
TARA MARIE CRAFFEY RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3450 MAYLAND CT, HENRICO, VA 23233-1468
(804) 484-3700
(804) 320-6462
Mailing address
PO BOX 36007, NORTH CHESTERFIELD, VA 23235-8000
(804) 484-3700
(804) 320-6462
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010318254
—
VA
Enumeration date
08/28/2006
Last updated
11/11/2021
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