Individual
EARLENE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5539 WHITE CAP ST, LAS VEGAS, NV 89110-4930
(702) 204-5310
Mailing address
5539 WHITE CAP ST, LAS VEGAS, NV 89110-4930
(702) 204-5310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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