NPI | 1427154632 |
---|---|
Former Name | TREASURE MARIA PECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: AZ DA4075) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ AUD4075) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2023-05-18 |