NPI | 1306188057 |
---|---|
Entity Type | Organization |
Authorized Contact | DENYCE EVENSON Licensed Hearing Aid Dispenser 661-322-8444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA HA7505) |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA HA7725) |
Enumeration Date | 2013-03-20 |
Last Update Date | 2013-03-20 |