Individual
MARIA JOSE BOSANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6550 SEVENOAKS AVE, BATON ROUGE, LA 70806-7324
(225) 929-8600
Mailing address
6550 SEVENOAKS AVE, BATON ROUGE, LA 70806-7324
(225) 929-8600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7963
LA
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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