Search › California › 163W00000X
Timiera Bolden
NPI 1063903862 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1169 S Main St # 105
Manteca, CA 95337 - Phone
- (925) 339-1242
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California