Individual
LEA ANGELICA BOLLOZOS TANSECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 MARYLAND AVE, HAGERSTOWN, MD 21740-7201
(301) 739-5437
Mailing address
5440 ADAMSTOWN COMMONS DR, ADAMSTOWN, MD 21710-8922
(443) 519-9810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/12/2020
Last updated
02/06/2023
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