Brandon James Bolin Valid NPI
Individual provider · Other Technician · Jackson, MI
- NPI
- 1760146690
- Type
- Individual (Type 1)
- Primary specialty
- Other Technician (Technician, Other)
- Specialty group
- Technologists, Technicians & Other Technical Service Providers
- Taxonomy code
- 247200000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-10-27
- Last updated
- 2021-10-27
Practice location
1001 Laurence Ave
Jackson, MI 49202-2979
(517) 750-4777