Search › Georgia › 106S00000X
Kendajah Bolden, RBT
NPI 1548851199 · on the registry since 2021
Practice
- Address
- 5072 Lavista Rd
Tucker, GA 30084 - Phone
- (706) 842-5330
- Fax
- (706) 842-5340
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 106S00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-12
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 Georgia