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Individual

KAIYA BOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
28 PENNSYLVANIA AVE, WURTSBORO, NY 12790-7818
(845) 888-2471
(845) 796-5074
Mailing address
28 PENNSYLVANIA AVE, WURTSBORO, NY 12790-7818
(845) 888-2471
(845) 796-5074

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
639796
NY

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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