NPI | 1366705816 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY QUEEN ROBERTS Owner 336-692-7691 |
Organization Subpart ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NC 881) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NC 1188) |
Enumeration Date | 2012-06-20 |
Last Update Date | 2012-06-20 |