| NPI | 1891967071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANETTE P JACKSON Audiologist 253-476-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: WA LD00001210) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2018-07-13 |