Individual
EMALEE K BOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 FUTURES WAY, BRADFORD, PA 16701-1866
(814) 368-4101
Mailing address
1 FUTURES WAY, BRADFORD, PA 16701-1866
(814) 368-4101
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN310075
PA
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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