Individual
MELISSA BOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E OHIO AVE, MIDLOTHIAN, TX 76065-2730
(469) 672-6902
Mailing address
110 E OHIO AVE, MIDLOTHIAN, TX 76065-2730
(469) 672-6902
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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