Tamara Lynnette Bolton

NPI #1932490810 in Deer Park, New York

Provider Information

NPI Number
1932490810
Entity Type
Individual
Name
Tamara Lynnette Bolton
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 26, 2011
Last Updated
Apr 26, 2011

Practice Location

Address
1806 DEER PARK AVE
ZIP Code
11729-4301
Phone
(631) 940-8266

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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