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Individual

DR. MARINA MARIE MULVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
4725 HOEN AVENUE, SUITE B, SANTA ROSA, CA 95405-9405
(707) 542-1154
(707) 542-4818
Mailing address
4725 HOEN AVENUE, SUITE B, SANTA ROSA, CA 95405-9405
(707) 542-1154
(707) 542-4818

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1683
CA
237700000X
Hearing Instrument Specialist
HA3313
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AU0016830
CA
Enumeration date
02/14/2007
Last updated
04/26/2016
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