Individual
ELLA DARICE BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 OAKWOOD AVE NW, HUNTSVILLE, AL 35810-4404
(256) 539-5136
(256) 551-3200
Mailing address
100 ALEXANDRIA DR, HUNTSVILLE, AL 35806-4223
(256) 679-0532
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
14226
AL
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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