Individual
THERESA ANN BOLYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7337 CARITAS CIR NW, MASSILLON, OH 44646-9126
(330) 830-6110
Mailing address
7337 CARITAS CIR NW, MASSILLON, OH 44646-9126
(330) 830-6110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005712RX
OH
Other
Enumeration date
09/20/2018
Last updated
07/23/2021
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