Individual
KYELAYUAN BOLDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 STUMPF BLVD, TERRYTOWN, LA 70056-3950
(844) 864-7834
(844) 864-7834
Mailing address
700 GARDENIA STREET, LAPLACE, LA 70068
(985) 210-9280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
LA
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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