| NPI | 1649727124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY L WREN Hearing Aid Fitter Dispenser #577 Wa 360-996-4214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WA 577) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |