NPI | 1134587967 |
---|---|
Entity Type | Organization |
Authorized Contact | MAUREEN J. FONDEVILLA-PEREZ Owner/President 818-245-6718 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 15483) |
Enumeration Date | 2016-02-08 |
Last Update Date | 2016-02-08 |