| NPI | 1174761290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CROOKSTON Audiologist 530-477-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU2255) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA5047) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2010-02-18 |