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Individual
KATINA LATRICE HOLLIDAY
Active
Individual
KATINA LATRICE HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
561948
CA
363LF0000X
Family Nurse Practitioner
Primary
95000731
CA
Other
Enumeration date
08/08/2014
Last updated
08/26/2014
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