Individual
BILLIE BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
5671 SANTA TERESA BLVD, SUITE 105, SAN JOSE, CA 95123-6512
(408) 284-2281
(408) 281-2857
Mailing address
5671 SANTA TERESA BLVD, SUITE 105, SAN JOSE, CA 95123-6512
(408) 284-2281
(408) 281-2857
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
2766
CA
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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