Individual
MRS. JOVANDA E BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 GREENE ST, AUGUSTA, GA 30901-1619
(678) 508-0202
Mailing address
310 GREENE ST, AUGUSTA, GA 30901-1619
(678) 508-0202
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
Y5R8R4S7
GA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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