NPI | 1881802734 |
---|---|
Former Name | LESA R. ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ HAD1979) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AZ 1979) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2022-07-21 |