| NPI | 1194967505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE FREDINE Office Manager 952-931-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 5489) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |