| 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 |