Individual
AISHA BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN/LVN
Contact information
Practice address
2201 ROCKBROOK DR APT 724, LEWISVILLE, TX 75067-3818
(214) 995-4628
Mailing address
2201 ROCKBROOK DR APT 724, LEWISVILLE, TX 75067-3818
(214) 995-4628
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1032966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032966
BON
TX
Enumeration date
02/25/2022
Last updated
02/25/2022
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