Individual
SONIA BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 N MAIN ST STE 100, ROSWELL, NM 88201-5023
(575) 840-7450
Mailing address
1210 N MAIN ST STE 100, ROSWELL, NM 88201-5023
(575) 840-7450
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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