Individual
SHAINA DANIELLE BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1323
(205) 599-4823
Mailing address
3304 VICKSBURG DR, BIRMINGHAM, AL 35213-1751
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AL
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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