Individual
JOCKLIN BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 MARTIN LUTHER KING BLVD STE 121, NORTH LAS VEGAS, NV 89032
(702) 470-4839
Mailing address
6404 PLAYA DE CARMEN WAY, NORTH LAS VEGAS, NV 89086-1418
(702) 929-0303
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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