Individual
SUMMER ANNE BOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3601 MARCONI AVE, SACRAMENTO, CA 95821-5309
(916) 481-1300
Mailing address
3318 I ST APT 1, SACRAMENTO, CA 95816-4547
(209) 450-9584
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7481
CA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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