Individual
MRS. TOSHIRA WARRENE JOHNSON PILLERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5980 RADIO STATION RD, LA PLATA, MD 20646-3337
(301) 932-6610
Mailing address
2870 MERCHANT CT, WALDORF, MD 20603-5300
(860) 983-5189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02692
MD
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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