Individual
JENNIFER BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-1800
Mailing address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-1800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT2007
MS
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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