NPI 1295061562
Mandy Dianne Bolton
Practice location
- Address
- 13 Nehemiah Pl, Los Lunas, NM 87031-7041
- Phone
- (505) 715-7814
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1295061562
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Oct 2009
- Record last updated
- 21 Oct 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.