Individual
WILLIAM BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2617 PLANTATION COVE CIR, VESTAVIA, AL 35226-2861
(850) 865-1465
Mailing address
PO BOX 303, SAMSON, AL 36477-0303
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10383
AL
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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