Individual
TINA BOLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8340 VIEWPOINT LN, CORNELIUS, NC 28031-8231
(980) 248-0358
Mailing address
8340 VIEWPOINT LN, CORNELIUS, NC 28031-8231
(980) 248-0358
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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