| NPI | 1962681189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WICKER Owner 703-777-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001122) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 2101-001388) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |