Individual
LEONILO FAJARDO PALLASIGUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4223 CHAPEL RD APT 201, NOTTINGHAM, MD 21236-7613
(443) 301-3422
Mailing address
4223 CHAPEL RD APT 201, NOTTINGHAM, MD 21236-7613
(443) 301-3422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26640
MD
Other
Enumeration date
05/17/2020
Last updated
05/17/2020
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