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Individual

ALISA BOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7300
(610) 402-6164
Mailing address
1330 POWELL ST, NORRISTOWN, PA 19401-3353
(484) 622-7280

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN696039
PA

Other

Enumeration date
08/03/2023
Last updated
12/11/2024
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