| NPI | 1578968715 |
|---|---|
| Doing Business As | MIRACLE EAR |
| Entity Type | Organization |
| Authorized Contact | JANET IVENS Owner 757-687-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 14763800005200) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |