Individual
STEPHANIE REYES-SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
Mailing address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
00110A
MD
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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