Individual
MRS. CAROLYN BIRD BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 445-8121
Mailing address
2700 DOLBEER ST, EUREKA, CA 95501-4736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004725
CA
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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