| NPI | 1114287323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SHANE MASON Owner 304-455-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: WV 0042) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |