Individual
DARLENE BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16835 BURGESS, DETROIT, MI 48219-4805
(248) 558-0002
Mailing address
16835 BURGESS, DETROIT, MI 48219-4805
(248) 558-0002
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110508
MI
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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