| NPI | 1336592039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE ALDOUS Owner/Provider 208-853-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ID HA-1961) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |