| NPI | 1750637799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE KISH His 291 508-824-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2024-01-16 |