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Individual

MARIA LUZ BOLYARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1874 BELTLINE RD SW, DECATUR, AL 35601-5514
(256) 301-3340
(256) 301-3407
Mailing address
1874 BELTLINE RD SW, DECATUR, AL 35601-5514
(256) 301-3340
(256) 301-3407

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-087717
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-087717
ALABAMA STATE LICENSE
AL
Enumeration date
02/05/2007
Last updated
07/08/2007
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