| NPI | 1144420605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LARSON SHIELDS Owner/Manager 605-996-0281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: SD 21) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |