| NPI | 1548457245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SAMUEL DEMERA Owner/President 559-903-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207YS0012X |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2022-08-25 |