| NPI | 1790969475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D KLOP Owner 207-846-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: ME AP727) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2008-03-04 |