| NPI | 1053404467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY S LEFFKE Owner/Provider 757-481-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 2006118011R) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |