Individual
CARYDAD ANN BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 BRANDON AVE, CHARLOTTESVILLE, VA 22903
(786) 443-4324
Mailing address
2394 SW 19TH ST, MIAMI, FL 33145-2432
(786) 443-4324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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