| NPI | 1548937147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUADALUPE LETICIA ALVIZO TAMAYO Speech Language Pathologist 775-342-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-01-24 |