| NPI | 1598124612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE OLIVAS Billing Specialist 619-786-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22918) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |