| NPI | 1417553223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RENE RODRIGUEZ President 623-900-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter |
| Additional Taxonomies | 231H00000X Audiologist |
| 231HA2400X Audiologist, Assistive Technology Practitioner | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |