Individual
BRUCE E BOLDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2021 SMITH FLAT RD, SUITE A, PLACERVILLE, CA 95667-5038
(530) 708-1628
Mailing address
720 OAK ST, SANTA ROSA, CA 95404-5041
(530) 708-1628
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC3226
CA
Other
Enumeration date
09/15/2009
Last updated
07/08/2016
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