Individual
CHRISTAL BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23061 SOLOMON DR, ALVA, FL 33920-4131
(561) 401-5252
Mailing address
23061 SOLOMON DR, ALVA, FL 33920-4131
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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