| NPI | 1598970253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKIL DAVIS Credentialing Manager 505-821-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NM 2084) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2014-12-22 |