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Organization
HOLISTIC VIRTUAL SERVICES
Active
Organization
HOLISTIC VIRTUAL SERVICES
Active
Other names
Holistic Virtual Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDAN SHARMA (MANAGER)
(971) 999-2182
Entity
Organization
Contact information
Practice address
3439 SE HAWTHORNE BLVD # 906, PORTLAND, OR 97214-5048
(971) 999-2182
Mailing address
539 W COMMERCE ST # 901, DALLAS, TX 75208-1953
(971) 999-2182
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
NULL
163WG0000X
General Practice Registered Nurse
Primary
—
—
163WN1003X
Nutrition Support Registered Nurse
—
NULL
163WN1003X
Nutrition Support Registered Nurse
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41644432
DL
TX
Enumeration date
11/05/2019
Last updated
11/05/2019
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