| NPI | 1891042214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE GAUSSOIN Owner 575-647-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NM 0710) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |