Organization
DEVON BLITZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON BLITZ CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(310) 963-3004
Entity
Organization
Contact information
Practice address
301 BOULDER ST UNIT 1383, MINTURN, CO 81645-5066
(310) 963-3004
Mailing address
301 BOULDER ST UNIT 1383, MINTURN, CO 81645-5066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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