Individual
AMANDA SUE BOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
393 EARTHWOOD LN, WEST UNION, OH 45693-9248
(937) 779-9213
Mailing address
393 EARTHWOOD LN, WEST UNION, OH 45693-9248
(937) 779-9213
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401696351014
OH
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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