Individual
MARCIA SMITH BLANK
Active
Individual
MARCIA SMITH BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU751
CA
237600000X
Audiologist-Hearing Aid Fitter
HA1505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU0007510
BLUE SHIELD
—
05
—
AU0007510
—
CA
01
—
AU0007511
BLUE SHIELD
—
01
—
AUD751B
MEDICARE
—
01
—
HA0015050
BLUE SHIELD
—
05
—
HA0015051
—
CA
Enumeration date
11/30/2006
Last updated
09/20/2021
Update your record
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