Organization
STAKS ENTERPRISES LLC.
Active
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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