| NPI | 1487849493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA J WAGNER Owner/Audiologist 410-964-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MD 562) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2023-08-02 |