Individual
DOLORES BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 FREDERICK ST STE 101, SANTA CRUZ, CA 95062-2239
(831) 460-9245
Mailing address
700 FREDERICK ST STE 101, SANTA CRUZ, CA 95062-2239
(831) 460-9245
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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