| NPI | 1285924894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY A JETER Specialist/ Manager 360-433-8136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA3375) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |