Individual
GLENN BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1595 E ART TOWNSEND DR, SAN BERNARDINO, CA 92408-0117
(840) 210-2189
Mailing address
1459 18TH ST # 206, SAN FRANCISCO, CA 94107-2801
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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