Individual
DELLA ANASTASIA BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
19949 FENTON ST, DETROIT, MI 48219-1069
(248) 918-5188
Mailing address
19949 FENTON ST, DETROIT, MI 48219-1069
(248) 918-5188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704324210
MI
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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