Individual
MS. REBEL ANN BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5000
Mailing address
524 BROKEN ARROW PASS, QUINLAN, TX 75474-6402
(469) 891-7304
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
163077
TX
Other
Enumeration date
11/02/2015
Last updated
02/07/2025
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