| NPI | 1295896835 |
|---|---|
| Former Name | RICKEY SAM VETKOS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ID HA3089) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR HAS-P-916188) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-01-18 |