Individual
KATHERINE BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2911 EAST MARKET STREET, PINE BLUFF, AR 71601
(870) 850-6400
Mailing address
2911 EAST MARKET STREET, PINE BLUFF, AR 71601
(870) 850-6400
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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