Individual
ROSETTA HILL BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3005 LENORA CHURCH RD STE A, SNELLVILLE, GA 30078-3688
(770) 979-9157
Mailing address
3016 ROLLING MEADOWS CT, LITHONIA, GA 30038-2240
(770) 987-2718
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN143010
GA
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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