| NPI | 1508139692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE JUSTUS FREEMAN Audiologist 225-769-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: LA 600) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |