Individual
KEJUAN BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2112 N NELLIS BLVD, LAS VEGAS, NV 89115-5507
(619) 343-8284
Mailing address
7749 ISLEY AVE, LAS VEGAS, NV 89147-4008
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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