Individual provider · Type 1 NPI

Bryce Jalen Bolden

Student in an Organized Health Care Education/Training Program · Florissant, MO

NPI number 1124857305 Active

Practice location

4410 Karen Ann Ct
Florissant, MO 63034-3496

Call (314) 593-7006 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124857305

Bryce Jalen Bolden's National Provider Identifier is 1124857305, issued on Jul 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Florissant, MO. The record was last updated on Jul 29, 2024.