Individual
ANJEANETTE NICOLE BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7950 DUBLIN BLVD, SUITE 315G, DUBLIN, CA 94568-2929
(510) 461-7466
Mailing address
15578 TRACY ST, SAN LORENZO, CA 94580-1619
(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
07/19/2013
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