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Individual

MARY KATHLEEN HIDALGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3998 FAIR RIDGE DR, SUITE 320, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 295-9369
Mailing address
500 HOSPITAL DR, WARRENTON, VA 20186-3027
(540) 349-0514

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024167953
VA
367500000X
Certified Registered Nurse Anesthetist
1-101930
AL
367500000X
Certified Registered Nurse Anesthetist
178681
CO

Other

Enumeration date
09/26/2006
Last updated
09/23/2008
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