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Individual

LISA NICOLE HOLLIDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
295 AUTUMN TRAIL WAY, WAVERLY HALL, GA 31831-2460
(206) 355-2264
Mailing address
295 AUTUMN TRAIL WAY, WAVERLY HALL, GA 31831-2460
(206) 355-2264

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD006946
GA

Other

Enumeration date
04/07/2025
Last updated
04/07/2025
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