Individual
MRS. CAROLINE ALICE BOLDUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, LACKLAND AFB, TX 78236
(210) 292-5077
(210) 292-7868
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, LACKLAND AFB, TX 78236-5638
(210) 292-5077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102203656
VA
Other
Enumeration date
05/07/2012
Last updated
06/05/2018
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