| NPI | 1053478578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WAYNE LASTRINA Owner 860-635-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: CT 134) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-07-25 |