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Elijah Bolton
NPI 1093909988 · on the registry since 2007 · sole proprietor
Practice
- Address
- 19207 80th Pl W
Edmonds, WA 98026 - Phone
- (425) 697-4201
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-09-04
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 Washington