Bryce Jalen Bolden
Bryce Jalen Bolden is a Student in an Organized Health Care Education/Training Program in Florissant, Missouri. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4410 Karen Ann CtFlorissant, MO 63034-3496
Phone: (314) 593-7006
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1124857305 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 29, 2024 |
| Last updated in NPPES | July 29, 2024 |
| Certification date | July 28, 2024 |
| Mailing address | 4410 Karen Ann Ct, Florissant, MO 63034-3496 |
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