Organization
MBD LLC DBA MIRACLE EAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MAESTAS (OWNER)
(702) 451-5363
Entity
Organization
Contact information
Practice address
1245 W. WARM SPRINGS RD, (INSIDE SEARS MIRACLE EAR HEARING, HENDERSON, NV 89014
(702) 451-5363
(702) 451-5515
Mailing address
P.O. BOX 778238, HENDERSON, NV 89077
(702) 451-5363
(702) 451-5515
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
#256
NV
332S00000X
Hearing Aid Equipment
NV256
NV
Other
Enumeration date
01/13/2011
Last updated
02/14/2011
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