| NPI | 1902063308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADEANA LOUISE MICHAEL Office Manager 660-747-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 2000174739) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |