Individual
JAYME NICOLE BOLANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10600 CHEVROLET WAY STE 10517473, ESTERO, FL 33928-4421
(813) 291-4695
Mailing address
17473 ASHCOMB WAY, ESTERO, FL 33928-6517
(813) 291-4695
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-309105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/13/2023
Last updated
01/13/2023
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