| 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 |