| NPI | 1689805632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LYNN CHALMERS Owner/Provider/Chairman Of The Boar 530-899-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA AU776) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |