| NPI | 1659650448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HELEN DUVAL Owner 563-386-2986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IA 466) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 466) |
| 332S00000X Hearing Aid Equipment (Licence: IA 466) | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |