| NPI | 1992781421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MAR SAMPLES Owner 707-542-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA SP1429) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2008-07-01 |