| NPI | 1275005852 |
|---|---|
| Doing Business As | AUDSLP DIAGNOSTIC AND REHABILITATION CLINIC 2 |
| Entity Type | Organization |
| Authorized Contact | NORMA IRIS CARBAJAL Office Manager 551-202-4929 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2022-06-04 |