Individual
REBECCA FAITH BOLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3169 2ND AVE E, BIG STONE GAP, VA 24219-3805
(276) 523-8300
(276) 523-6964
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002070026
VA
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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