| NPI | 1114195997 |
|---|---|
| Doing Business As | DBA MIRACLE EAR CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNY LEE FAIRFIELD Secretary 805-544-0592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA H42915) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |