Individual
MRS. MELISSA CLARK BOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4138 MITCHELL RD, RIDGEWAY, VA 24148-4225
(276) 340-1142
(276) 956-5050
Mailing address
4138 MITCHELL RD, RIDGEWAY, VA 24148-4225
(276) 340-1142
(276) 956-5050
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T63345963
VA
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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