Individual
QUINCY BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
(425) 349-8359
(425) 349-8348
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA60384172
WA
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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