NPI | 1104873942 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA MARIE MALLORY Owner 540-829-9005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: VA 2201000649) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2015-07-13 |