TYMON NAKIA BOLTON

PHOENIX, AZ
NPI1073201182
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QA0600X Clinic/Center, Adult Day Care
Enumeration Date2023-04-26
Last Update Date2023-04-26
Business Address
TYMON NAKIA BOLTON
1949 E CARVER DR
PHOENIX, AZ 85040-2454
Phone number: 480-577-2858
Mailing Address
TYMON NAKIA BOLTON
5326 W MCNEIL ST
LAVEEN, AZ 85339-9606
Phone number: 480-577-2858