Organization
MOUNTAIN VIEW HEARING AID CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAYNE KEESEE JR. (PRESIDENT)
(360) 681-4481
Entity
Organization
Contact information
Practice address
625 N 5TH AVE, SEQUIM, WA 98382-5062
(360) 681-4481
Mailing address
PO BOX 3445, SEQUIM, WA 98382-5029
(360) 681-4481
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
WA2054
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9045501
—
WA
Enumeration date
08/25/2009
Last updated
08/26/2009
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