Individual
MR. JAMES MELVIN BOLDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3540 SUMMER AVE, 409, MEMPHIS, TN 38122-3600
(901) 490-2636
Mailing address
3540 SUMMER AVE, 409, MEMPHIS, TN 38122-3600
(901) 490-2636
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
1000000007148
TN
372600000X
Adult Companion
1000000007148
TN
3747A0650X
Attendant Care Provider
1000000007148
TN
3747P1801X
Personal Care Attendant
1000000007148
TN
376J00000X
Homemaker
Primary
1000000007148
TN
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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