Individual
MARIELIZ LLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
Mailing address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06965
MD
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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