| NPI | 1154654853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIEKO TANAKA Owner 910-323-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NC 4646) |
| Enumeration Date | 2009-09-12 |
| Last Update Date | 2009-09-17 |