| NPI | 1194586297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUE XIONG Regional Support Specialist 763-292-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-05-07 |