NPI | 1932364981 |
---|---|
Former Name | MARISSA B MENDRYGAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80215) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU 2615) |
Enumeration Date | 2008-07-18 |
Last Update Date | 2023-10-02 |