Individual
JELLE MARIE TOLENTINO LASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4656 LIVINGSTON RD SE, WASHINGTON, DC 20032-3149
(202) 519-0982
Mailing address
1214 KINGSBURY DR, BOWIE, MD 20721-2021
(202) 766-3986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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