Individual
MRS. ANGELA DENISE BOLEN-WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3446 W HIGHWAY 329, REDDICK, FL 32686-4072
(352) 895-4350
Mailing address
300 SE 1ST AVE, OCALA, FL 34471-2169
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070971900
—
FL
Enumeration date
11/13/2019
Last updated
11/13/2019
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