NPI | 1962819029 |
---|---|
Other Name | MISTY LEDAWN WILLIAMSON CRESPO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ HADR10832) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CO HAD.0000284) |
237700000X Hearing Instrument Specialist (Licence: GA HADS000922) | |
Enumeration Date | 2014-07-21 |
Last Update Date | 2017-10-12 |