| NPI | 1790227205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD EUGENE GRUBBS Owner 239-292-2485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NC 1053) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |