| NPI | 1114966132 |
|---|---|
| Doing Business As | AUDIOLOGY CENTER OF TRI-CITY |
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL ILLICH Clinical Audiologist 760-489-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU778) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2008-02-26 |