Organization
PRO ACTIVE HEARING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE R JONES HAD (OWNER)
(575) 622-0375
Entity
Organization
Contact information
Practice address
214 W 1ST ST, ROSWELL, NM 88203-4602
(575) 622-0375
(575) 622-0575
Mailing address
214 W 1ST ST, ROSWELL, NM 88203-4602
(575) 622-0375
(575) 622-0575
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
4684745
NM
Other
Enumeration date
08/04/2013
Last updated
07/22/2014
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