Individual
BRYAN BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CATC II
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6150
Mailing address
1001 NEEDHAM ST, MODESTO, CA 95354-0730
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
05/20/2025
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