Bolden, Sandra Lynette
Bolden, Sandra Lynette is an individual health care provider with primary practice located at 275 Beck Ave , Fairfield CA 94533-6804. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Other Service Providers / Peer Specialist. Nursing Service Related Providers / Adult Companion is her primary health care specialty. Bolden, Sandra Lynette can be contacted via phone (707) 208-9996.Contact Information
Primary practice address
275 Beck Ave
Fairfield CA 94533-6804
Phone: (707) 208-9996
Fax: (707) 427-2774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Adult Companion | 372600000X | MPSS-4N5QTH | California |
| Other Service Providers / Peer Specialist | 175T00000X | MPSS-4N5QTH | California |
Profile Details
| NPI number | 1083272918 |
|---|---|
| LBN Legal business name | Bolden, Sandra Lynette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2019 |
| Last updated | Jan 29th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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