MEDICARE: MARQUES CAZMERE BOLDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1790660538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARQUES CAZMERE BOLDEN

Provider Business Mailing Address
First Line	:	1076 WEYBRIDGE RD # ATPD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2730
Country	:	US
Telephone Number	:	216-394-7402
Fax Number	:

Provider Business Practice Location Address
First Line	:	1076 WEYBRIDGE RD # ATPD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2730
Country	:	US
Telephone Number	:	216-394-7402
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	08/11/2025

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Directions to “ MARQUES CAZMERE BOLDEN ” Practice Location

Language	Start Address	Practice Location

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