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Individual

TRISHA A. BENTS MUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU. D.

Contact information

Practice address
424 BARNES ST, SUITE 102, BEL AIR, MD 21014-3958
(410) 838-4327
(410) 510-1814
Mailing address
424 BARNES ST, SUITE 102, BEL AIR, MD 21014-3958
(410) 838-4327
(410) 510-1814

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01254
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
335906900
MD
Enumeration date
02/07/2013
Last updated
09/02/2015
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