Individual
CRYSTAL BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1456 OAK HOLLOW DR, AUSTINBURG, OH 44010-9730
(440) 275-1899
Mailing address
1456 OAK HOLLOW DR, AUSTINBURG, OH 44010-9730
(440) 275-1899
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN304497
OH
Other
Enumeration date
11/28/2008
Last updated
11/28/2008
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