Search › Mississippi › 163WH0200X
Mary Bolela
NPI 1871355578 · on the registry since 2024 · sole proprietor
Practice
- Address
- 242 Holly Hill Dr
Jackson, MS 39212 - Phone
- (601) 573-9458
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Also registered as
- 163W00000X
3104A0625X - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-02
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 Mississippi