Individual
MR. BRIAN LORENZO BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
904 G ST, EUREKA, CA 95501-1829
(707) 269-2001
(707) 269-2044
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
02/15/2007
Last updated
09/13/2018
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