Individual
ATHIENG BOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2481 GLACIER DR, PAPILLION, NE 68046-3256
(402) 507-1410
Mailing address
2481 GLACIER DR, PAPILLION, NE 68046-3256
(402) 507-1410
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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