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Individual

CANDICE EVITA ORTIZ-HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
11886 HEALING WAY STE 530, SILVER SPRING, MD 20904-7917
(240) 670-1200
(240) 719-0534
Mailing address
11886 HEALING WAY STE 530, SILVER SPRING, MD 20904-7917
(240) 670-1200
(240) 719-0534

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01505
MD
231H00000X
Audiologist
AT006280
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1715321005
MD
Enumeration date
06/21/2009
Last updated
12/27/2021
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