Individual
MS. DARLENE BOLDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
35453989
TX
172V00000X
Community Health Worker
37814
IA
376K00000X
Nurse's Aide
355674014
IA
376K00000X
Nurse's Aide
Primary
NA10082522
TX
Other
Enumeration date
12/11/2014
Last updated
12/12/2014
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