DERRICK J BOLES

HOLT, MI
NPI1548140858
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-09-05
Last Update Date2025-09-05
Business Address
-- DERRICK J BOLES
4049 SUNSHINE PEAK DR
HOLT, MI 48842-7733
Phone number: 208-739-2404
Mailing Address
-- DERRICK J BOLES
4049 SUNSHINE PEAK DR
HOLT, MI 48842-7733
Phone number: 208-739-2404