Individual
LEESA DIAN BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
PO BOX 1361, QUARTZSITE, AZ 85346-1361
(512) 784-6929
Mailing address
PO BOX 1361, QUARTZSITE, AZ 85346-1361
(512) 784-6929
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC-001125
AZ
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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