NPI | 1558490391 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH VERNON WALL President 661-323-1612 |
Organization Subpart ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA HA 805) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA 2137) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2015-06-12 |