Individual
ANJEANETTE NICOLE BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
29516 KOHOUTEK WAY, UNION CITY, CA 94587-1221
(510) 441-8240
Mailing address
15399 BEATTY ST, SAN LEANDRO, CA 94579-2116
(510) 461-7466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18003
CA
Other
Enumeration date
07/19/2013
Last updated
08/05/2026
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