| NPI | 1932794245 |
|---|---|
| Doing Business As | B.O.L.D.L.Y. THERAPY |
| Entity Type | Organization |
| Authorized Contact | BRANDI NYCOLE WALKER President 323-639-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |