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Individual

MRS. LEENA BOLTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.B.S., C.N.H.P.

Contact information

Practice address
7503 QUEENS CT, SUITE 101, GERMANTOWN, TN 38138-3875
(901) 647-5519
(901) 672-7136
Mailing address
7503 QUEENS CT, SUITE 101, GERMANTOWN, TN 38138-3875
(901) 647-5519
(901) 672-7136

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
07/23/2010
Last updated
07/23/2010
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