| NPI | 1609151349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNARD KELSEY MOORE Owner/His 800-654-4296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MN 2689) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MN 2609) |
| 237700000X Hearing Instrument Specialist (Licence: MN 2664) | |
| 237700000X Hearing Instrument Specialist (Licence: WI 1284-060) | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2013-10-30 |