| NPI | 1164770319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY COMERFORD NICHOLS Audiologist 850-912-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: AL 1046a) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |