Individual
MR. DAVID THAYER BOLESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9028
(804) 734-9383
Mailing address
13521 GREYFIELD DR, CHESTER, VA 23831-6769
(804) 734-9028
(804) 734-9383
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
273579-1
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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