Individual
ADRIENNE BOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 ROUTE 55, LAGRANGEVILLE, NY 12540-5108
(845) 475-9660
(845) 475-9938
Mailing address
38 COLONIAL DR, TILLSON, NY 12486-1013
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8750
NY
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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