NPI | 1487329900 |
---|---|
Entity Type | Organization |
Authorized Contact | ILCE MARGARITA RODRIGUEZ-AVILA Owner 831-585-0152 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
Enumeration Date | 2021-08-16 |
Last Update Date | 2021-08-16 |