Individual
MEGAN E BOLDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU-D
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2441
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2441
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1014
ND
Other
Enumeration date
02/05/2008
Last updated
11/08/2012
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