# M'CHAE HOLLOWELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548789407
- **Gender:** F
- **Credential:** CCMA, CPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | H8N7F6J6 | CA | Yes |
| 202K00000X | Phlebology Physician | W9D2A7M8 | CA | — |

## Other

- **Enumeration date:** 09/12/2017
- **Last updated:** 09/12/2017