Individual
DR. CARLA DARAK-BOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3921 E MARKET ST, BUILDING III SECOND FLOOR, WARREN, OH 44484-4711
(330) 856-3300
(330) 856-4539
Mailing address
34 BOARDMAN POLAND RD, BOARDMAN, OH 44512-4601
(330) 758-6671
(330) 758-1451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4982/T1852
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2455927
—
OH
Enumeration date
08/10/2005
Last updated
04/02/2019
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