ANGELICA PENAGOS BOLIVAR

FLUSHING, NY
NPI1699219063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  3783561)
Enumeration Date2016-12-05
Last Update Date2016-12-05
Business Address
-- ANGELICA PENAGOS BOLIVAR
3420 94TH ST
FLUSHING, NY 11372-3824
Phone number: 718-424-9031
Mailing Address
-- ANGELICA PENAGOS BOLIVAR
102 PECONIC CT
MELVILLE, NY 11747-5305
Phone number: 631-742-6351
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