Individual
MELANIE LEE BOLTZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12409 W INDIAN SCHOOL RD, AVONDALE, AZ 85392-9502
(623) 935-9920
(623) 935-9925
Mailing address
12409 W INDIAN SCHOOL RD STE B210, AVONDALE, AZ 85392-9505
(623) 935-9920
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
165689
AZ
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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