NPI | 1215604038 |
---|---|
Former Name | GRACE M PADDOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81430) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WA LD61204276) |
237600000X Audiologist-Hearing Aid Fitter (Licence: TX 81430) | |
Enumeration Date | 2021-08-28 |
Last Update Date | 2025-04-11 |