| NPI | 1730776923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DANIELLE WADDELL Owner 734-489-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-02-17 |