Individual
LATEYA L BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 CHRISTIAN AVE APT 124, TOLEDO, OH 43613-2958
(567) 288-9533
Mailing address
1805 CHRISTIAN AVE APT 124, TOLEDO, OH 43613-2958
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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