NPI | 1578552154 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN BLAKEMORE Audiologist / Owner 209-634-9327 |
Organization Subpart ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU1782) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA3831) |
Enumeration Date | 2005-10-17 |
Last Update Date | 2018-03-01 |