MARIA ANGELICA BOLANOS SAN ROQUE

SUNRISE, FL
NPI1336649334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NM  PT4440)
Enumeration Date2018-02-15
Last Update Date2018-02-15
Business Address
MARIA ANGELICA BOLANOS SAN ROQUE
1580 SAWGRASS CORPORATE PKWY STE 200
SUNRISE, FL 33323-2869
Phone number: 954-739-4247
Mailing Address
MARIA ANGELICA BOLANOS SAN ROQUE
410 E BOW DR APT A15
CHEROKEE, IA 51012-1145
Phone number: 505-205-2080