Individual
SABRINA BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(800) 554-7771
Mailing address
2560 W AVENUE J2, LANCASTER, CA 93536-6003
(661) 429-7088
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33614
CA
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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