Individual
CHARLIE RAY BOLDEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1830 RICHMOND RD, TOLEDO, OH 43607-1541
(419) 205-3636
Mailing address
1830 RICHMOND RD, TOLEDO, OH 43607-1541
(419) 205-3636
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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