Individual
ALYSSA BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
(619) 594-5200
Mailing address
20231 BLAUER DR, SARATOGA, CA 95070-4305
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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