Organization
STAKS ENTERPRISES LLC.
Active
Other names
Miracle Ear
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE PENELOPE MOLONEY (OFFICE MANAGER)
(702) 456-0002
Entity
Organization
Contact information
Practice address
7500 W LAKE MEAD BLVD STE 3, LAS VEGAS, NV 89128-0299
(702) 456-0002
Mailing address
PO BOX 36252, LAS VEGAS, NV 89133-6252
(702) 456-0002
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
309
NV
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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