institution
Park Place Declarant
Hearing Aid Equipment in Lake Havasu City, Arizona
NPI 1487896114

Park Place Declarant is a Hearing Aid Equipment based in Logandale, AZ. Park Place Declarant practices in Lake Havasu City, AZ. The NPI Number for Park Place Declarant is 1487896114 and holds a License No. HAD5806 (Arizona).

The current practice location address for Park Place Declarant is 2105 Mcculloch Blvd N, Lake Havasu City, AZ and can be reached out via phone at 702-807-7931 and via fax at 702-398-3757.

Location: 2105 Mcculloch Blvd N, Lake Havasu City, AZ, 89021-0224
institution
Provider Profile Details
NPI Number
1487896114
Provider Name
Park Place Declarant
Credential
Provider Entity Type
Organization
Address
2105 Mcculloch Blvd N, Lake Havasu City, AZ, 89021-0224
Phone Number
702-807-7931
Fax Number
702-398-3757
Provider Enumeration Date
03/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2105 Mcculloch Blvd N
City
State
Zip
86403-6772
Phone Number
702-807-7931
Fax Number
702-398-3757
person
Provider Business Mailing Address Details
Address
2105 Mcculloch Blvd N
City
State
Zip
86403-6772
Phone Number
702-807-7931
Fax Number
702-398-3757
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Hearing Aid Equipment
Speciality
-
Taxonomy
License No.
HAD5806 (Arizona)
Definition
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.
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