Individual
MA. ALEIGHNE JONCO ANTIQUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 GENESIS WAY, SEVERNA PARK, MD 21146-1762
(410) 544-4220
Mailing address
33 DALLINGTON CT, PERRY HALL, MD 21128-9123
(443) 231-8481
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02263
MD
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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